Repair of the Adult Acetabular Labrum

Murphy, Kevin P.; Ross, Amy E.; Javernick, Matthew A; Lehman, Ronald A.

doi:10.1016/j.arthro.2005.07.033

Cited by 52 publications

(21 citation statements)

References 10 publications

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“…Our study has a higher reoperation rate and less functional improvement as compared to previously reported studies on labral tears with femoroacetabular impingement [1,3,10,18,22,26,30]. This could be explained by the presence of preoperative osteoarthritis (n = 13) and borderline acetabular coverage (n = 50).…”

Section: Discussioncontrasting

confidence: 51%

Save the Torn Labrum in Hips With Borderline Acetabular Coverage

Kalore

Jiranek

2012

Clinical Orthopaedics &Amp; Related Research

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Background Hip arthroscopy for labral tears improves short-term function, but reoperations occur in 5% to 47% of patients. The effect of borderline acetabular coverage on reoperation rate has been debated. Labral repair rather than débridement has been proposed to improve function, but the effect on reoperation rate is unclear. Questions/Purposes We determined whether (1) borderline compared to adequate acetabular coverage increased reoperations and (2) labral repair compared to débridement reduced reoperations. Methods We retrospectively reviewed 106 patients (mean age, 39 years) who underwent hip arthroscopy for labral tears. Based on radiographs, we classified patients into those with borderline (n = 50) or adequate (n = 56) acetabular coverage. We further divided each group into those with labral débridement or repair: borderline acetabular coverage, n = 25 and 25, respectively; adequate acetabular coverage, n = 39 and 17, respectively. We assessed reoperations in borderline versus adequate acetabular coverage and labral débridement versus repair, modified Harris hip scores (mHHSs), and survival. Minimum followup was 12 months (mean, 33 months; range, 12-65 months). Results Twenty-three of 106 patients had reoperations. Reoperation rate was higher with borderline than with adequate acetabular coverage. Reoperation rate was lower with labral repair than with débridement. Survival to reoperation was similar in the four subgroups although there was a tendency for early reoperation in patients with borderline acetabular coverage with débridement.

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Section: Discussioncontrasting

confidence: 51%

Save the Torn Labrum in Hips With Borderline Acetabular Coverage

Kalore

Jiranek

2012

Clinical Orthopaedics &Amp; Related Research

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“…Our study indicates the results of simple labral débridement in the absence of arthritis can be maintained with time. However, these data predate current concepts in the etiology of labral disorders and techniques of labral repair [18,19,22]. These factors are likely to be important, especially in light of poor results in patients with associated arthritis.…”

Section: Discussionmentioning

confidence: 91%

Prospective Analysis of Hip Arthroscopy with 10-year Followup

Byrd¹,

Jones²

2010

Clinical Orthopaedics &Amp; Related Research

303

243

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Arthroscopic surgery of the hip is a wellestablished technique with numerous recognized indications. Despite the well-accepted nature of this procedure, there have been no outcomes studies with extended followup. We investigated the response to hip arthroscopy in a consecutive series of patients with 10 years followup. Since 1993, all patients undergoing hip arthroscopy have been assessed prospectively with a modified Harris hip score preoperatively and then postoperatively at 3, 12, 24, 60, and 120 months. A cohort of 50 patients (52 hips) was identified who had achieved 10-year followup and represent the substance of this study. There was 100% followup. The average age of the patients was 38 years (range, 14-84 years), with 27 males and 23 females. The median improvement was 25 points (preoperative, 56 points; postoperative, 81 points). Fourteen patients were converted to THA and two died. Four patients underwent repeat arthroscopy. There were two complications in one patient.

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“…Several techniques reattaching the labrum to the bony acetabulum via various fixation devices have been described (e.g., suture anchors, screw anchors, and extra-articular sutures). 12,13,15,33 It has been suggested that the fixation device be placed at an angle that will not result in penetration into the joint. 12,13,34 Hip anchors, specifically, may be considered in 2 general groups: knotless or knot-tying.…”

Section: Discussionmentioning

confidence: 99%

Anatomic Labral Repair in the Hip Using a Knotless Tensionable Suture Anchor

Suárez-Ahedo

Martin

Walsh

et al. 2016

Arthroscopy Techniques

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To perform a proper labral repair, most surgeons use anchors to secure the labrum to the acetabular bone. We aim to describe a technique for labral repair with a knotless tensionable suture anchor. This technique uses a looped suture configuration, allowing selective tensioning of the repair to maintain the anatomic suction seal of the hip. The use of this technique is easily reproducible and reduces the surgical time compared with previous techniques.

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Repair of the Adult Acetabular Labrum

Cited by 52 publications

References 10 publications

Save the Torn Labrum in Hips With Borderline Acetabular Coverage

Save the Torn Labrum in Hips With Borderline Acetabular Coverage

Prospective Analysis of Hip Arthroscopy with 10-year Followup

Anatomic Labral Repair in the Hip Using a Knotless Tensionable Suture Anchor

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