Patient Satisfaction after Arthroscopic Repair of Acetabular Labral Tears

Abstract

BackgroundAcetabular labral tear is a main cause of hip pain and disability, often requiring surgical treatment. Improvements of hip arthroscopic technique have produced positive outcomes after labral repair with arthroscopy. The purpose of this study was to determine clinical outcomes and patient satisfaction after arthroscopic repair of acetabular labral tear.MethodsWe interviewed 21 patients (10 men and 11 women; mean age, 36 years [range, 22 to 57 years]) with acetabular labral tears that had been repaired arthroscopically in terms of satisfaction of the procedure. In addition, clinical outcome was assessed using visual analog scale (VAS) score, University of California, Los Angeles (UCLA) activity, Western Ontario and McMaster Universities (WOMAC) osteoarthritis index, and Harris hip score, and radiologic outcome was assessed using serial radiography. The patients were followed for 24-50 months.ResultsThe mean Harris hip score was 73 points (range, 64 to 84 points) preoperatively and 83 points (range, 66 to 95 points) postoperatively. Fifteen hips (71%) were rated excellent and good. The mean WOMAC osteoarthritis index and VAS scores were improved at final follow-up. UCLA activity at the latest follow-up improved in 16 patients. The Tonnis grade of osteoarthritis at the latest follow-up did not change in all patients. Eighteen of the patients (86%) were satisfied with the procedure.ConclusionsHigh rate of satisfaction after arthroscopic repair of acetabular labral tears is an encouraging outcome. Arthroscopic treatment of labral tears might be a useful technique in patients with hip pathologies, such as femoroacetabular impingement with labral tears.

Arthroscopic Treatment of Labral Tears in Patients Aged 60 Years or Older

“…Numerous publications have documented the outcomes of hip arthroscopy in patient cohorts aged younger than 50 years, with positive patient-reported outcomes (PROs) at 2 and 10 years; however, limited research exists regarding the outcomes of hip arthroscopy in elderly patients. [2][3][4][5][6][7][8] A literature search yielded 2 publications that specifically focused on PROs after hip arthroscopy in patients older than 50 years. 9, 10 Philippon et al 10 evaluated a cohort of patients aged 50 years or older undergoing arthroscopic surgery for femoroacetabular impingement and found that patients with less than 2 mm of joint space had a high risk of early conversion to total hip arthroplasty (THA).…”

Outcomes After Arthroscopic Repair in Patients With Tears of Hypertrophic Versus Morphologically Normal Acetabular Labra

“…However, the unstable type of acetabular labral tears is generally uncommon. 9 Fourth, like pincer-type FAI, most labral tears in the HL group were the peripheral longitudinal type (Lage type 3) or the more advanced, unstable type (Lage type 4). In previous studies, type 4 was uncommon in normal-sized labral tears.…”

“…Although many studies on arthroscopic repair of acetabular labral tears have consistently reported encouraging results at the short- to midterm follow-up, most cases were combined with bony structural abnormalities. 2,9,20,25 Because isolated acetabular labral tears rarely occur and are frequently associated with structural osseous abnormalities, such as cam-type and/or pincer-type FAI lesions, 1 the treatment of isolated acetabular labral tear is seldom reported. Schilders et al 22 compared arthroscopic labral repair (69 hips) and resection (32 hips) in 96 patients (101 hips) at a mean follow-up of 2.4 years.…”

The Hip in Ice Hockey: A Current Concepts Review

“…Typically, these conditions are managed arthroscopically with relatively high rates of reported patient satisfaction. 95,96 Recent data have shown that outcomes of labral repair during FAI surgery are superior to labral debridement procedures. 97,98 The role of labral reconstruction is unclear and further study is needed.…”