Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticleArthroscopic Labral Base Repair in the Hip: Clinical Results of a Described Technique
Section snippets
Methods
At our institution, data are prospectively collected on all patients undergoing hip preservation surgery. The PRO scores include the modified Harris Hip Score (mHHS), the Non-Arthritic Hip Score (NAHS),14 the Hip Outcome Score–Activities of Daily Living (HOS-ADL), and the Hip Outcome Score–Sport-Specific Subscale (HOS-SSS)15 obtained preoperatively and at 2 years' and 3 years' follow-up. All 4 questionnaires are used because it has been reported that there is no conclusive evidence for the use
Results
During the study period, 66 patients met the inclusion criteria. Of these patients, 54 (82%) were available for follow-up. The mean age was 28.8 ± 12.8 years (range, 14 to 57 years). One patient had a prior hip arthroscopy at an outside institution and underwent revision because of continued hip pain from unaddressed FAI, whereas all others underwent primary hip arthroscopy. The mean length of follow-up for this cohort was 2.4 ± 0.58 years (range, 1.7 to 4.1 years). Patient demographic data are
Discussion
Arthroscopic labral repair by the described LBR technique has been shown to be a successful technique for labral repair based on the PROs reported in this study. This technique generated a response from advocates of the looped stitch technique when initially published.12 Although the benefits of labral repair continue to be shown,7, 8, 9, 10 on the basis of current clinical outcomes research, the specific technique most optimal for repair remains to be determined. The theoretical benefit of LBR
Conclusions
The clinical results of the described LBR technique showed favorable clinical improvements based on 4 PRO questionnaires, the VAS, and patient satisfaction. More clinical, biomechanical, and histologic studies are needed to determine the optimal repair technique.
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Cited by (0)
The authors report the following potential conflict of interest or source of funding: B.H. is a salary paid employee of Arthrex and receives royalties for an orthopaedic product/device from Arthrex. B.G.D. receives support from MAKO Surgical and Arthrex.