Sarper Cetinkaya1, Berkin Toker1, Vahit E Ozden2, Goksel Dikmen2, Omer Taser3. 1. Department of Orthopaedics and Traumatology, Acibadem Fulya Hospital Sports Medicine Centre, Istanbul - Turkey. 2. Department of Orthopaedics and Traumatology, Acibadem Faculty of Medicine, Acibadem Maslak Hospital, Istanbul - Turkey. 3. Department of Orthopaedics and Traumatology, Acibadem Faculty of Medicine, Acibadem Fulya Hospital, Istanbul - Turkey.
Abstract
PURPOSE: To compare the clinical results of labral repair with labral debridement in patients undergoing arthroscopy for femoroacetabular impingement. METHODS: Between July 2008 and December 2011, 67 patients (73 hips) underwent arthroscopic treatment for femoroacetabular impingement. The repair group consisted of 33 patients; 18 hips with pincer only, 1 with CAM only and 15 with combined impingement. The debridement group contained 34 patients; 6 with pincer only, 5 with CAM only and 28 with combined type. The mean age in the repair group was 33.5 years (range, 30-61) and in the debridement group was 39.5 years (range, 18-59 y). At the time of last follow-up, patient's hip function was evaluated with ROM of the hip; daily Hip Outcome scores (dHOS) and Visual Analogue Score (VAS). RESULTS: The mean follow-up was 45.2 month in the repair group and 47.2 month in debridement group. Daily hip outcome scores were significantly improved from preoperatively to last follow-up in both groups (p<0.05). However, there were no statistical significant difference in dHOS between repair and debridement groups (p>0.05) at last follow-up. 2 patients in the repair group and 1 patient in the debridement group had undergone total hip replacement at an average of 16 months (range, 4-32 m) after arthroscopic treatment. Hip joint instability occurred in 1 patient in the repair group due to aggressive capsular resection. This was treated by a periacetabular osteotomy. CONCLUSIONS: No difference in hip functional outcomes was observed between labral debridement and labral repair in arthroscopic treatment of femoroacetabular impingement.
PURPOSE: To compare the clinical results of labral repair with labral debridement in patients undergoing arthroscopy for femoroacetabular impingement. METHODS: Between July 2008 and December 2011, 67 patients (73 hips) underwent arthroscopic treatment for femoroacetabular impingement. The repair group consisted of 33 patients; 18 hips with pincer only, 1 with CAM only and 15 with combined impingement. The debridement group contained 34 patients; 6 with pincer only, 5 with CAM only and 28 with combined type. The mean age in the repair group was 33.5 years (range, 30-61) and in the debridement group was 39.5 years (range, 18-59 y). At the time of last follow-up, patient's hip function was evaluated with ROM of the hip; daily Hip Outcome scores (dHOS) and Visual Analogue Score (VAS). RESULTS: The mean follow-up was 45.2 month in the repair group and 47.2 month in debridement group. Daily hip outcome scores were significantly improved from preoperatively to last follow-up in both groups (p<0.05). However, there were no statistical significant difference in dHOS between repair and debridement groups (p>0.05) at last follow-up. 2 patients in the repair group and 1 patient in the debridement group had undergone total hip replacement at an average of 16 months (range, 4-32 m) after arthroscopic treatment. Hip joint instability occurred in 1 patient in the repair group due to aggressive capsular resection. This was treated by a periacetabular osteotomy. CONCLUSIONS: No difference in hip functional outcomes was observed between labral debridement and labral repair in arthroscopic treatment of femoroacetabular impingement.
Authors: David R Maldonado; Sarah L Chen; Mitchell J Yelton; Philip J Rosinsky; Rafael Walker-Santiago; Jacob Shapira; Ajay C Lall; Benjamin G Domb Journal: Orthop J Sports Med Date: 2020-02-05
Authors: Ida Lindman; Sarantos Nikou; Axel Öhlin; Eric Hamrin Senorski; Olufemi Ayeni; Jon Karlsson; Mikael Sansone Journal: J Exp Orthop Date: 2021-04-23
Authors: Eoghan T Hurley; Andrew J Hughes; M Shazil Jamal; Edward S Mojica; David A Bloom; Thomas Youm; Tom McCarthy Journal: Arthrosc Sports Med Rehabil Date: 2021-08-18