Arthroscopic Labral Repair Versus Selective Labral Debridement in Female Patients With Femoroacetabular Impingement: A Prospective Randomized Study

Krych, Aaron J.; Thompson, Matthew; Knutson, Zak; Scoon, Joanna; Coleman, Struan H.

doi:10.1016/j.arthro.2012.07.011

Cited by 289 publications

(214 citation statements)

References 33 publications

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“…Although research on clinical outcomes of labral repair continues to show benefits, [15][16][17][18]29,31,32 the best method is yet to be determined. 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).…”

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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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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“…A surgeon also has the option of repair, reconstruction, or resection when the labrum is detached for rim resection. Several clinical studies suggest that patients with repairs fare better than those with excision [20,22,31,[35][36][37]51], but another study found that the labrum is repaired in only one-fourth of arthroscopic…”

Section: Background Rationale and Study Findingsmentioning

confidence: 99%

No Regeneration of the Human Acetabular Labrum After Excision to Bone

Miozzari

Celia

Clark

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Treatment options for a symptomatic, torn, irreparable, or completely ossified acetabular labrum are limited to either excision and/or reconstruction with grafts. In a previous animal model, regeneration of the acetabular labrum after excision to the bony rim has been shown. In humans, less is known about the potential of regeneration of the labrum. Recent studies seem to confirm labral regrowth, but it is still unclear if wide excision might be a surgical option in cases where repair is not possible.Questions/purposes The purposes of this study were (1) to determine the extent of acetabular labrum regeneration after excision to the bony rim; and (2) to determine whether this procedure results in higher hip scores. Methods We reviewed all patients treated with surgical dislocation for symptomatic femoroacetabular impingement by a single surgeon at one institution between 2003 and 2008, of whom 14 underwent wide labral excision (of at least 60°) down to bone; we used this approach when there was an absence of reparable tissue. Of these 14, nine were available for voluntary reexamination. The mean age at surgery was 38 ± 9 SD years and the mean followup was 4 ± 1 SD years. All patients consented to a physical examination and an MRI arthrogram, which was evaluated for evidence of new tissue formation by four observers. A modified Harris hip score and the UCLA were recorded.

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“…They found that labral preservation (50 hips) continued to have better outcomes (MHHS, SF-12, VAS) compared with focal labral excision (44 hips) with 92 % good to excellent results vs 68 % good to excellent results, respectively [30]. More recently Krych et al conducted a prospected, randomized study looking at labral repair (18 patients) vs selective labral debridements (18 patients) in females [31]. They noted better outcomes with labral repair for the ADL and Sports subscale of the Hip Outcomes Score at a mean 32 months follow-up [31].…”

Section: The Acetabular Labrummentioning

confidence: 99%

“…More recently Krych et al conducted a prospected, randomized study looking at labral repair (18 patients) vs selective labral debridements (18 patients) in females [31]. They noted better outcomes with labral repair for the ADL and Sports subscale of the Hip Outcomes Score at a mean 32 months follow-up [31]. A recent study looked at the sealing function (fluid efflux) of the native labrum, labral tear, labral repair, partially resected labrum, and labral reconstruction in a cadaveric model [32].…”

Section: The Acetabular Labrummentioning

confidence: 99%

Current concepts and trends for operative treatment of FAI: hip arthroscopy

Larson

Stone

2013

Curr Rev Musculoskelet Med

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There has been an increasing body of literature regarding arthroscopic management of femoroacetabular impingement (FAI). Refinement of arthroscopic techniques has allowed for more complete management of FAI, and metaanalysis and systematic reviews have shown comparable outcomes to surgical hip dislocation with appropriate indications. There are still, however, pathomorphologies that are not accessible or much more challenging to address arthroscopically, and open corrective procedures should be considered in these situations. Extra-articular FAI is receiving increased attention and can be secondary to anterior inferior iliac spine/subspine impingement, trochanteric-pelvic impingement, and ischiofemoral impingement. Femoral and acetabular version and their impact on hip stability as well as the concept of impingement induced instability are being increasingly recognized. Acetabular labral and capsular management and repair techniques have also received increased attention. Finally, 3-dimensional imaging and dynamic software analysis are beginning to emerge as potential tools to better evaluate hip pathomorphology.

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Arthroscopic Labral Repair Versus Selective Labral Debridement in Female Patients With Femoroacetabular Impingement: A Prospective Randomized Study

Cited by 289 publications

References 33 publications

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

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

No Regeneration of the Human Acetabular Labrum After Excision to Bone

Current concepts and trends for operative treatment of FAI: hip arthroscopy

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