Midterm Outcomes After Hip Labral Augmentation in Revision Hip Arthroscopy

Abstract

Background: Labral augmentation has emerged as an essential procedure to address a deficient or irreparable labrum while preserving native labral tissue and restoring the hip suction seal mechanism. Purpose: To evaluate midterm outcomes of arthroscopic hip labral augmentation for labral insufficiency after previous hip arthroscopy. Study Design: Case series; Level of evidence, 4. Methods: Patients were identified from a prospectively collected database who underwent arthroscopic hip labral augmentation between January 2011 and January 2017 with a minimum 3-year follow-up. Pre- and postoperative patient-reported outcome scores were compared and included the 12-Item Short Form Health Survey physical and mental component summaries, Western Ontario and McMaster Universities Osteoarthritis Index, modified Harris Hip Score (mHHS), and Hip Outcome Score (HOS) (Activities of Daily Living [ADL] and Sport). Postoperative Tegner Activity Scale and patient satisfaction (1-10) scores were also evaluated. The minimal clinically important difference (MCID) and Patient Acceptable Symptom State (PASS) between the preoperative and minimum 3-year follow-up scores were calculated. Results: A total of 88 patients (39 men, 49 women) underwent revision hip arthroscopy with labral augmentation. The average age was 32.8 ± 11 years. Of these, 77 patients (88%) were available for the minimum 3-year follow-up. The survivorship (absence of conversion to total hip arthroplasty) at 3 years and 5 years was 93% at both time points, with a mean survival time of 8.5 years (95% CI, 8.0-8.9). Eleven patients (14%) required revision arthroscopic surgery for continued pain. Revisions occurred at a mean of 2.6 ± 1.4 years after augmentation. The mean follow-up was 5.2 ± 1.2 years (range, 3-9 years). For patients not requiring subsequent surgery (n = 61), all patient-reported outcome measures significantly improved, which included a 20-point increase in HOS-ADL (MCID, 82%; PASS, 72%) and mHHS (MCID, 78%; PASS, 70%). The median postoperative Tegner score was 4 (range, 1-10). The median postoperative patient satisfaction score was 9 out of 10 (range, 1-10). Conclusion: Arthroscopic hip labral augmentation is a successful treatment option for patients with labral insufficiency after previous hip arthroscopy, demonstrating improved patient-reported outcomes and survivorship of 93% at 3 years and 5 years. This technique provides a valuable labral preservation option when addressing hip labral pathology when viable native labral tissue remains.

Efficacy of pericapsular nerve group (PENG) block on perioperative pain management in elderly patients undergoing hip surgical procedures: a protocol for a systematic review with meta-analysis and trial sequential analysis

“…Satisfaction could be measured by a 5-point Likert scale (1=very dissatisfied; 2=dissatisfied; 3=neutral; 4=satisfied; 5=very satisfied), 10-point Likert scale (1=completely unsatisfied; 10=completely satisfied) or a postoperative questionnaire whether the patient would choose the same anaesthetic or analgesia handling by the answer of ‘yes’ or ‘no’. 108 …”

“…Open access 2=dissatisfied; 3=neutral; 4=satisfied; 5=very satisfied), 10-point Likert scale (1=completely unsatisfied; 10=completely satisfied) or a postoperative questionnaire whether the patient would choose the same anaesthetic or analgesia handling by the answer of 'yes' or 'no'. 108 Exploratory outcomes 1. Perioperative sensory block: Sensory block was evaluated using a 3-point scale (0=no block, 1=analgesia (patient can feel touch, not cold), 2=anaesthesia (patient cannot feel touch)), which was assessed in the anterior, lateral and medial aspects of the mid-thigh.…”

Application of data mining technology in college mental health education

“…We can have a comprehensive understanding of students, provide decision support for students, and have self-evident practical significance for further understanding students’ behavior characteristics and decision support of school management. For the convenience of function display and user interaction, the system adopts b\s architecture, and the system structure is shown in Figure 5 ( Soares et al, 2022 ). It mainly includes data layer, processing layer and application layer.…”

Tissue Integration and Chondroprotective Potential of Acetabular Labral Augmentation with Autograft Tendon

“…Therefore, labral augmentation may be beneficial for articular cartilage protection because of the preservation of the native chondrolabral junction. In addition to the cadaveric research, promising clinical outcomes of labral augmentation using various autografts have been shown in recent clinical studies [15][16][17] . Consistent with the results mentioned above, we found that the synovial fluid concentrations of IL-1b and TNF-a in the AUG group increased from 6 to 12 weeks and then declined at 24 weeks.…”