Preliminary Pain and Function After Labral Reconstruction During Femoroacetabular Impingement Surgery

Walker, Justin; Pagnotto, Michael R.; Trousdale, Robert T.; Sierra, Rafael J.

doi:10.1007/s11999-012-2506-1

Cited by 60 publications

(55 citation statements)

References 11 publications

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“…This way, patients become extremely fearful of re-injury or specific activities that have been associated in their mind with pain or re-injury risk. A model that is known as the "fear -avoidance model" [25][26][27][28] .…”

Section: Etiology Of Fear Of Re-injurymentioning

confidence: 99%

Fear of re-injury following ACL reconstruction: an overview

Papadopoulos¹,

Tishukov²,

Stamou³

et al. 2018

JRPMS

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The anterior cruciate ligament (ACL) tear (Figure 1) is a common sports injury in both males and females 1 , particularly in sports that require cutting, jumping, or pivoting 2 , with more than 200.000 incidents every year in the United States 1. Likewise, ACL reconstruction is a common operation (Figure 2), both in the USA and in Europe, with more than 100.000 syndesmoplasties being performed every year in the United States and 3.500 per year in Sweden 1,3. A patient with an ACL tear who is treated conservatively, with early activity modification and a neuromuscular rehabilitation programme, may be able in a few days or a couple of weeks to have a painless knee with no oedema. Later, he may also be able to return to sports (RTS), in some extend, by executing simple sports activities that do not include cutting, jumping, or pivoting movements. This way the patients may avoid the stress of the operation, however, as studies have shown, 2/3 of those patients do not return to their pre-injury activity level 4,5. When the patient decides to undergo surgical reconstruction of the ACL tear, he complies with the stress of the operation and the long post-operative rehabilitation programme, ranging from 6 to 12 months. Patients undergo surgery not only to avoid subsequent meniscal or chondral injuries and early osteoarthritis, but especially to return to their pre-injury level of activity 6-9. According to the current literature, only 40 to 70% of the cases achieve return to the pre-injury activity level following ACL reconstruction 10-15. A recent meta-analysis, which included 48 studies with a mean follow-up of 41 months, revealed that although 90% of the patients achieved normal or nearly-normal knee function, only 63% returned to their pre-injury level of participation. Thus, 1 out of 4 patients achieves complete restoration of the knee joint function, but does not return to the pre-injury level of activity. This disparity between physical function and the ability to RTS is attributed to psychosocial factors 7,16. The psychosocial factors that may affect RTS include fear of re-injury (19%), fear of job-loss due to re-injury (11%) and a change in lifestyle or family commitments (18%), when only 13% of

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Section: Etiology Of Fear Of Re-injurymentioning

confidence: 99%

Fear of re-injury following ACL reconstruction: an overview

Papadopoulos¹,

Tishukov²,

Stamou³

et al. 2018

JRPMS

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“…5 Likewise, good results have been reported for labrum reconstruction using ligamentum teres capitis or fascia lata autograft in patients undergoing open surgical hip dislocation. 13 In this study, the investigators reported on 19 patients (20 hips) with a minimum follow-up of 12 months. Three patients were converted to total hip arthroplasty within 36 months of the primary surgical In regard to the graft source, the first description of this technique used ligamentum teres capitis autograft in an open surgical hip dislocation.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Technique for Acetabular Labral Reconstruction Using Iliotibial Band Autograft

Chahla

Soares

Bhatia

et al. 2016

Arthroscopy Techniques

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The dynamic function of the acetabular labrum makes it an important structure for both hip stability and motion. Because of this, injuries to the labrum can cause significant dysfunction, leading to altered hip kinematics. Labral repair is the gold standard for symptomatic labral tears to keep as much labral tissue as possible; however, in cases where the labrum has been injured to such a degree that it is either deficient or repair is not possible, arthroscopic labral reconstruction is preferred. This article describes our preferred approach for reconstruction of the acetabular labrum using iliotibial band autograft.

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“…Several other recent studies have added to the literature supporting the ability of labral reconstruction in appropriately selected patients to improve symptoms and quality of life. [12][13][14] One of the advantages of our technique is the ease of manipulation of the graft using the SpeedLock Hip anchor. It is a knotless anchor but allows rotation of the graft either away from or toward the femoral head by selective tensioning of the 2 sutures that are passed through the base of the graft and then into the anchor.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Hip Labral Reconstruction and Augmentation Using Knotless Anchors

McConkey

Moreira

Mei-Dan

2015

Arthroscopy Techniques

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Biomechanical stability is the primary function of the acetabular labrum. It provides a hip suction seal and optimal joint function. Labral tears are a common reason for hip arthroscopy, to improve patient function and to prevent long-term degenerative arthropathy. Arthroscopic labral repair has shown significantly better outcomes in return to premorbid activity levels when compared with labral debridement. Injury to the acetabular labrum is a challenge and can lead to long-term complications. In this scenario, arthroscopic labral reconstruction has shown good results regarding patient subjective and objective outcomes. We describe a technique for complete arthroscopic labral reconstruction using tensor fascia lata allograft.

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Preliminary Pain and Function After Labral Reconstruction During Femoroacetabular Impingement Surgery

Abstract: Background Labral refixation rather than resection provides better pain relief and function after femoroacetabular impingement (FAI) surgery.

Cited by 60 publications

References 11 publications

Fear of re-injury following ACL reconstruction: an overview

Fear of re-injury following ACL reconstruction: an overview

Arthroscopic Technique for Acetabular Labral Reconstruction Using Iliotibial Band Autograft

Arthroscopic Hip Labral Reconstruction and Augmentation Using Knotless Anchors

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