Platelet-Rich Plasma Is Not Associated With Improved Outcomes Following Hip Femoroacetabular Impingement Surgery: Very Low-Quality Evidence Suggests Hyaluronic Acid and Cell-Based Therapies May Be Beneficial—A Systematic Review of Biological Treatments

Mullins, Karen; Filan, David; Carton, Patrick

doi:10.1016/j.asmr.2022.05.002

Cited by 3 publications

(2 citation statements)

References 56 publications

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“… 10 , 12 Before labral reconstruction, labral quality and functional requirements need to be considered, in addition to patient age and Tönnis osteoarthritis grade. 7 , 10 , 12 , 16 , 17 , 18 Various surgical techniques for labrum reconstruction have been described. Although long-term follow-up data are limited, both segmental and circumferential labral reconstruction are reported to provide satisfactory clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

Modified Technique for Labral Reconstruction of Hip Joint Using Autologous Iliotibial Band (ITB)—Make Labral Reconstruction Stress-Free

Tian,

Gao,

et al. 2023

Arthroscopy Techniques

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Section: Discussionmentioning

confidence: 99%

Modified Technique for Labral Reconstruction of Hip Joint Using Autologous Iliotibial Band (ITB)—Make Labral Reconstruction Stress-Free

Tian,

Gao,

et al. 2023

Arthroscopy Techniques

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“…Fig. 1 PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) flow diagram of systematic review[35] …”

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confidence: 99%

Orthobiologics as an adjunct in treatment of femoroacetabular impingement syndrome: cell‐based therapies facilitate improved postoperative outcomes in the setting of acetabular chondral lesions—a systematic review

George,

Curley,

Saeed

et al. 2023

Knee surg. sports traumatol. arthrosc.

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Purpose To evaluate studies utilizing orthobiologics in the management of femoroacetabular impingement syndrome (FAIS) to (1) assess the indications for usage, and (2) analyze patient-reported outcome measures (PROM) following treatment. It was hypothesized that orthobiologics would (1) be utilized for symptomatic FAIS in the setting of labral or chondral pathology, and (2) improve PROM at most recent follow-up. Methods The Pubmed, Ovid Medline, Cochrane, and Web of Science databases were searched for clinical studies evaluating orthobiologics [hyaluronic acid (HA), platelet-rich plasma (PRP), or cell-based therapy (CBT) for treatment of FAIS. Exclusion criteria included orthobiologics used in conjunction with cartilage transfer or scaffolding procedures and a primary indication other than FAIS. Data collection included patient demographics, indications, and baseline and most recent PROM.Results Eleven studies (one level I, four level II, four level III, and two level IV evidence) met inclusion criteria, consisting of 440 patients with mean ages ranging from 32.8 to 47 years. All 11 studies demonstrated an improvement in PROM from baseline to most-recent follow-up. Four studies administered PRP either intraoperatively or the day after surgery as an adjunct to labral repair. CBT was used intraoperatively in the setting of acetabular chondral lesions (three studies) and labral repair (one study). When comparing to a control group at most recent follow-up, three PRP cohorts demonstrated similar PROM (n.s.), while one PRP group exhibited worse visual analog pain scores (2.5 vs. 3.4, p = 0.005) and modified Harris Hip Scores (mHHS) (82.6 vs. 78.7, p = 0.049). The four CBT studies reported favorable results compared to a control group, with a significantly higher mHHS at most recent follow-up or mean improvement from baseline in Hip Outcome Score-Activities of Daily Living (p < 0.05). Three studies reported on HA, which was utilized exclusively in the nonoperative setting. Conclusions Intraoperative PRP and CBT have been commonly reported in the setting of hip arthroscopy for labral repairs and acetabular chondral lesions, respectively. The CBT cohorts demonstrated more favorable PROM at most recent follow-up when compared to a control group, though these results should be interpreted with caution due to heterogeneity of orthobiologic preparations. Level of evidence IV.

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A comprehensive review of hip arthroscopy techniques and outcomes

Suarez-Ahedo,

Camacho-Galindo,

López-Reyes

et al. 2024

SAGE Open Medicine

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Transforming the orthopedic landscape, hip arthroscopy pioneers a minimally invasive surgical approach for diagnosing and addressing hip pathologies. With its origins dating back to Burman’s 1931 cadaveric study, this groundbreaking technique gained clinical relevance in 1939 through Takagi’s report. However, the 1980s marked the actual emergence of hip arthroscopy for treating a wide range of hip disorders. Now, a staple in modern orthopedics, hip arthroscopy empowers patients with previously undiagnosed and untreated hip conditions, enabling them to obtain relief and reclaim their lives. By employing a compact camera and specialized tools, surgeons expertly navigate the hip joint, performing procedures from excising loose bodies and mending labral tears to addressing femoroacetabular impingement and tackling other intricate issues. This innovative approach has dramatically elevated patients’ quality of life, allowing them to embrace targeted treatments and resume daily activities without resorting to lifestyle alterations.

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Platelet-Rich Plasma Is Not Associated With Improved Outcomes Following Hip Femoroacetabular Impingement Surgery: Very Low-Quality Evidence Suggests Hyaluronic Acid and Cell-Based Therapies May Be Beneficial—A Systematic Review of Biological Treatments

Cited by 3 publications

References 56 publications

Modified Technique for Labral Reconstruction of Hip Joint Using Autologous Iliotibial Band (ITB)—Make Labral Reconstruction Stress-Free

Modified Technique for Labral Reconstruction of Hip Joint Using Autologous Iliotibial Band (ITB)—Make Labral Reconstruction Stress-Free

Orthobiologics as an adjunct in treatment of femoroacetabular impingement syndrome: cell‐based therapies facilitate improved postoperative outcomes in the setting of acetabular chondral lesions—a systematic review

A comprehensive review of hip arthroscopy techniques and outcomes

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