Minimum 2-Year Functional Outcomes of Patients Undergoing Capsular Autograft Hip Labral Reconstruction
| Autor: | Nathan H. Varady, Paul F Abraham, Wendy M Meek, Scot T. Martin, Mark R Nazal, Michael P. Kucharik |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
musculoskeletal diseases 030222 orthopedics medicine.medical_specialty business.industry Physical Therapy Sports Therapy and Rehabilitation 030229 sport sciences Surgery Arthroscopy 03 medical and health sciences Treatment Outcome 0302 clinical medicine Femoracetabular Impingement Humans Medicine Hip Joint Orthopedics and Sports Medicine Hip arthroscopy Autografts business Follow-Up Studies Retrospective Studies |
| Zdroj: | The American Journal of Sports Medicine. 49:2659-2667 |
| ISSN: | 1552-3365 0363-5465 |
| DOI: | 10.1177/03635465211026666 |
| Popis: | Background: There is a paucity of literature on arthroscopic capsular autograft labral reconstruction. Purpose: To report midterm functional outcomes for patients undergoing acetabular labral repair with capsular autograft labral reconstruction. Study Design: Case series; Level of evidence, 4. Methods: This is a retrospective case series of prospectively collected data on patients who underwent arthroscopic acetabular labral repair by the senior surgeon between March 2013 and August 2018. The inclusion criteria for this study were adult patients aged 18 years or older who underwent primary hip arthroscopy for arthroscopic capsular autograft labral reconstruction. Exclusion criteria were Results: A total of 97 hips (94 patients) met the inclusion criteria with a mean final follow-up of 28.2 months (95% CI, 26.0-30.4). Patients had a mean age of 39.0 years (95% CI, 36.8-41.2) with a mean body mass index of 25.8 (95% CI, 24.9-26.7). When compared with baseline (40.4 [95% CI, 36.7-44.2]), the mean international Hip-Outcome Tool-33 (iHOT-33) scores were significantly greater at 3-month (60.9 [95% CI, 56.8-64.9]; P < .001), 6-month (68.8 [95% CI, 64.7-72.9]; P < .001), 12-month (73.2 [95% CI, 68.9-77.5]; P < .001), and final (76.6 [95% CI, 72.4-80.8]; P < .001) follow-up. At 2-year follow-up, 76.3%, 65.5%, and 60.8% of patients’ iHOT-33 scores exceeded clinically meaningful outcome thresholds for minimally clinically important difference (MCID), patient-acceptable symptomatic state, and substantial clinical benefit, respectively. Conclusions: In this study of 97 hips undergoing arthroscopic labral repair with capsular autograft labral reconstruction, we found favorable outcomes that exceeded the MCID thresholds in the majority of patients at a mean 28.2 months’ follow-up. Future studies should compare outcomes between this technique and other methods of autograft and allograft reconstruction to determine differences in patient-reported outcomes, donor-site morbidity, and complications. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|