What Factors Influence Long-term Survivorship After Hip Arthroscopy?

McCarthy, Joseph C.; Jarrett, Bryan; Ojeifo, Olumide; Lee, Jo Ann; Bragdon, Charles R.

doi:10.1007/s11999-010-1559-2

Cited by 199 publications

(201 citation statements)

References 26 publications

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“…Several articles have used Tönnis grade as a descriptive for outcome studies [6,9,13,15,16,22,25]. One recent article excluded patients with Tönnis Grade 2 or greater and greater than 50% narrowing of the joint space and still had 8% conversion to THA [16].…”

Section: Discussionmentioning

confidence: 99%

“…Several studies [14,15] show a relationship between the Tönnis grade on plain radiographs and the presence of cartilage lesions in the hip at time of surgery. A recent study [13] with a 10-year followup of hip arthroscopy showed the grades of cartilage lesions noted at the time of surgery were predictors of THA. However, the direct correlation between Tönnis grade and risk of conversion to THA has not been shown.…”

Section: Discussionmentioning

confidence: 99%

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Joint Space Predicts THA After Hip Arthroscopy in Patients 50 Years and Older

Philippon

Briggs

Carlisle

et al. 2013

Clinical Orthopaedics &Amp; Related Research

194

152

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Background All patients considering joint-preserving hip arthroscopy should be educated on the risk of THA after arthroscopy. The degree of radiographic osteoarthritis predicts subsequent THA. To provide patients with the best information, the best radiographic measure that predicts THA after hip arthroscopy should be identified. Questions/purposes We therefore determined if Tönnis grade, Kellgren-Lawrence grade, or joint space narrowing was superior in predicting THA after hip arthroscopy. Methods We retrospectively reviewed 203 patients 50 years of age or older treated with hip arthroscopy between

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Joint Space Predicts THA After Hip Arthroscopy in Patients 50 Years and Older

Philippon

Briggs

Carlisle

et al. 2013

Clinical Orthopaedics &Amp; Related Research

194

152

View full text Add to dashboard Cite

show abstract

“…Although evidence suggests that selective labral debridement (not segmental labrectomy) may yield durable successful long-term outcomes, 10,11 several studies suggest that labral refixation, at least in the setting of FAI, yields better clinical outcomes. 5,6,12 Despite theoretic basic science support for the preservation or restoration of labral function, the clinical evidence for this conceptually rational procedure is very limited and merits further investigation.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Labral Reconstruction With Gracilis Autograft

Matsuda

2012

Arthroscopy Techniques

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Despite growing interest in hip arthroscopy and labral preservation, some patients have severely damaged, degenerative, or deficient labrums and may be candidates for arthroscopic labral reconstruction. The ligamentum teres has been used as a graft source for open hip labral grafting, and the iliotibial band has been used in the arthroscopic setting. We present an alternative method of hip labral reconstruction using the gracilis autograft, which does not require post-harvest manipulation. Arthroscopic techniques for graft tensioning and labrum-graft overlap are introduced that may facilitate restoration of labral function in patients with otherwise non-salvageable labrums.

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“…Approximately 90% of patients with FAI are found to have labral disruption at surgery [14,16,40,45]. In surgical management of these injuries, one may repair, excise, or replace an unstable segment.…”

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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What Factors Influence Long-term Survivorship After Hip Arthroscopy?

Abstract: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Cited by 199 publications

References 26 publications

Joint Space Predicts THA After Hip Arthroscopy in Patients 50 Years and Older

Joint Space Predicts THA After Hip Arthroscopy in Patients 50 Years and Older

Arthroscopic Labral Reconstruction With Gracilis Autograft

No Regeneration of the Human Acetabular Labrum After Excision to Bone

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