Reconstruction of Nonrepairable Acetabular Labral Tears with                     Allografts: Mid-Term Results

Moya, Esther; Natera, Luis; Cardenas, Carlomagno; Bellotti, Vittorio; Astarita, Emanuele

doi:10.5301/hipint.5000410

Cited by 10 publications

(6 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The described study confirms excellent patient satisfaction and a mHHS improvement from 58 preoperatively to 93 postoperatively. These results are in agreement with the literature for joint preserving hip surgery and support the argument for labral reconstruction [ 1 , 13 , 14 ].…”

Section: Discussionsupporting

confidence: 92%

“…Philippon et al reported improvement of mean mHHS from 62 (range, 35 to 92) preoperatively to 85 (range, 53 to 100) postoperatively and median patient satisfaction was 8 out of 10 (range, 1 to 10) in a series of 95 patients who underwent labral reconstruction with Iliotibial band (ITB) autograft at a mean follow-up of 18 months [ 1 ]. Moya et al reported a mean improvement of 39 points in Non arthritic hip score (NAHS), from 47(SD17.6, CI95%) to 86(SD10.5, CI95%) with 85%cases had satisfactory results in a series of 20 patients with labral reconstruction at a mean follow-up of 5.1 years [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Arthroscopic Acetabular Labral Reconstruction with Fascia Lata Allograft: Clinical Outcomes at Minimum One-Year Follow-Up

Rathi

Mazek²

2017

TOORTHJ

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Arthroscopic Acetabular Labral Reconstruction with Fascia Lata Allograft: Clinical Outcomes at Minimum One-Year Follow-Up

Rathi

Mazek²

2017

TOORTHJ

View full text Add to dashboard Cite

show abstract

“…Allograft semitendinosus and autograft gracilis were used in four of the nine studies (33 hips) 12.5% of all hips [21][22][23][24]. The gracilis tendon autograft was used because of its strong tensile properties and ease of harvest [24].…”

Section: Semitendinosus Allograft and Gracilis Autograftmentioning

confidence: 99%

“…There were three different complications. One of the hips underwent revision arthroscopy, in which the labrum inspection showed excellent stability and tension [23].…”

Section: Peroneus Brevis and Labrum Allograftsmentioning

confidence: 99%

The Hip Labrum Reconstruction: Indications and Outcomes—an Updated Systematic Review

Mana

Coughlin

Desai

et al. 2019

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

Purpose of Review To present an updated systematic review of the indications and outcomes of open and arthroscopic labral reconstruction. Due to the increasing popularity and recognition, the arthroscopic procedure has gained in recent years, the aim was to assess for changes in indications, graft selection, and improvement in outcomes within the last 5 years. Recent Findings A total of nine eligible studies (six case series, one cohort, and two retrospective comparative studies) with a total of 234 patients (265 hips), and an average 12/16 (non-comparative studies) and 20/24 (comparative studies) quality on the MINORS score were included in this review. All patients underwent labral reconstruction, whether as primary surgery or revision (76% vs 24% respectively). There were 244 hips assessed at final follow-up (92%) with a reported mean range of 12 and 61 months. There were more graft variabilities found in this study compared with the previous review (iliotibial band allograft, gracilis tendon autograft, indirect head of rectus femoris autograft, semitendinosus allograft, peroneus brevis allograft, labrum allograft, ligamentum capitus femoris). Surgical approaches differed (open 7.9% (previously 18.7%), arthroscopic 86% (previously 81. 3 %), arthroscopic assisted mini-open technique (AAMOT) (6%)). Overall, improvement was observed in the patientreported outcomes and functional scores, with variability in their statistical significance. The failure rate or conversion to total hip arthroplasty (THA) decreased compared with the previous review (20% vs 9.5% [conversion to THA was 5.7% and revision surgery rate was 3. 8%]). Indications for labrum reconstruction remained similar (i.e., young, active patients with no or minimal arthritis (Tonnis 0-1), irreparable or ossified labrum, and hypotrophic < 2 mm or dysfunctional hypertrophic labrum > 8 mm). Summary According to recent evidence, hip labrum reconstruction is a new technique that showed short-and mid-term improvement in patient-reported outcomes and functional scores postoperatively. The primary indication for reconstruction remained similar over time. The failure rates and/or conversion to THA appear to have decreased over time. Long-term follow-up with higher quality studies was not available in the literature based on this review. Level of evidence 2

show abstract

“…Another study conducted by Moya et al described a cohort of 20 patients with nonrepairable labral tears, which underwent to labral grafting mainly by means of an arthroscopic assisted anterior mini-open approach. The clinical outcomes were considered satisfactory, reason why these authors concluded that labral reconstruction with tendon allografts provides relief of painful symptoms, and represents a reliable alternative for patients with nonrepairable labral tears that are not yet candidates for a joint replacement procedure [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Labral reconstruction with tendon allograft: histological findings show revascularization at 8 weeks from implantation

Gómez¹,

Cardenas²,

Astarita³

et al. 2017

Journal of Hip Preservation Surgery

Self Cite

View full text Add to dashboard Cite

This description shows the histological findings of a peroneus brevis tendon allograft used for labral reconstruction, implanted 8 weeks before being retrieved due to a postoperative complication unrelated to the graft. As far as we have knowledge this is the first description about revascularization of an allograft used for hip labral reconstruction. The histological report of the removed peroneus brevis tendon allograft shows evidence of vascular ingrowth represented by small vessels with a thin muscular wall in all layers of the graft and cellular migration mainly represented by mature fibroblasts.

show abstract

Reconstruction of Nonrepairable Acetabular Labral Tears with Allografts: Mid-Term Results

Abstract: We concluded that labral reconstruction with tendon allograft provides relief of painful symptoms, and represents a reliable alternative for patients with nonrepairable labral tears that are not yet candidates for a joint replacement procedure.

Cited by 10 publications

References 30 publications

Arthroscopic Acetabular Labral Reconstruction with Fascia Lata Allograft: Clinical Outcomes at Minimum One-Year Follow-Up

Arthroscopic Acetabular Labral Reconstruction with Fascia Lata Allograft: Clinical Outcomes at Minimum One-Year Follow-Up

The Hip Labrum Reconstruction: Indications and Outcomes—an Updated Systematic Review

Labral reconstruction with tendon allograft: histological findings show revascularization at 8 weeks from implantation

Contact Info

Product

Resources

About