Effect of Anchor Density on Functional Outcomes After Arthroscopic Hip Labral Repair.
Background: While labral repair has been widely adopted as the first line treatment for labral injury during hip arthroscopy, there is no widespread consensus on the procedural technique, including the number of anchors that should be used to avoid recurrent instability and revision surgery. Purpose...
| Publicado en: | American Journal of Sports Medicine Vol. 50; no. 12; pp. 3210 - 3218 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Oct2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159438200&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159438200 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03635465 ASM jtl: American Journal of Sports Medicine issn: 03635465 maglogo: Y pubinfo: dt: Oct2022 vid: 50 iid: 12 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 159438200 159183961 159438200 159438200 10.1177/03635465221121577 159438200 ppf: 3210 ppct: 8 formats: tig: atl: Effect of Anchor Density on Functional Outcomes After Arthroscopic Hip Labral Repair. aug: au: Ernat, Justin J. Comfort, Spencer M. Jildeh, Toufic R. Ruzbarsky, Joseph J. Philippon, Marc J. affil: Steadman Philippon Research Institute, Vail, Colorado, USA sug: subj: Arthroscopy Methods Treatment Outcomes Functional Status Hip Labram Tear Surgery Patient-Reported Outcomes Femoracetabular Impingement Surgery Hip Joint Surgery Human Prospective Studies Adolescence Middle Age Clinical Assessment Tools Scales Descriptive Statistics Young Adult Adult Postoperative Period Correlation Coefficient Reoperation Wilcoxon Rank Sum Test Spearman's Rank Correlation Coefficient Kruskal-Wallis Test Multiple Logistic Regression Confidence Intervals Odds Ratio Data Analysis Software Female Male Adolescent: 13-18 years Middle Aged: 45-64 years Adult: 19-44 years Female Male ab: Background: While labral repair has been widely adopted as the first line treatment for labral injury during hip arthroscopy, there is no widespread consensus on the procedural technique, including the number of anchors that should be used to avoid recurrent instability and revision surgery. Purpose: To determine if anchor density can predict patient-reported outcomes after arthroscopic labral repair in the hip. Study Design: Cohort study; Level of evidence, 3. Methods: Patients aged 18 to 50 years who underwent primary hip arthroscopic surgery with labral repair between January 2011 and December 2016 were identified from a prospectively collected database. Exclusion criteria consisted of previous ipsilateral surgery, osteoarthritis (Tönnis grade >1), and severe cartilage defects (Outerbridge grade III/IV) or concomitant labral reconstruction, capsular reconstruction, or microfracture. Minimum 2-year patient-reported outcomes (modified Harris Hip Score [mHHS], Hip Outcome Score [HOS]–Activities of Daily Living [ADL], HOS–Sport Specific Subscale [SSS], 12-Item Short Form Health Survey [SF-12]), rates of achieving the minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) for each score, revision surgery rate, and rate of conversion to total hip arthroplasty (THA) were compared based on anchor density (number of anchors per millimeter of labral tear). Results: A total of 634 hips (575 patients) with a mean age of 30.4 ± 9.5 years (range, 18.0-49.9 years) met inclusion criteria. The mean labral tear size was 31 ± 11 mm (range, 2-70 mm) with a median number of anchors used for labral repair of 3 (range, 1-7) and mean anchor density of 0.11 ± 0.08 anchors (range, 0.03-1.33) per millimeter of labral tear. Hips with a minimum 2-year follow-up (451/634 [71.1%]) had significant improvements on the mHHS, HOS-ADL, HOS-SSS, and SF-12 Physical Component Summary (P <.001 for all). There was no significant correlation detected between anchor density or number of anchors used and postoperative scores (correlation coefficient range, –0.05 to 0.17; P >.05 for all). The rate of revision surgery was 6.4% (28 patients), with 8 hips found to have labral tears and/or deficiency on revision. Additionally, 6 hips (1.3%) had to undergo THA at a mean of 3.6 ± 2.1 years (range, 2.0-5.5 years). Conclusion: Anchor density did not have a correlation with postoperative outcomes, achieving the MCID or PASS, revision hip arthroscopic surgery, complications, or conversion to THA. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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