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Clinical outcomes of arthroscopic repair of acetabular labral tears
  1. Carlos César Vassalo1,
  2. Antônio Augusto Guimarães Barros1,
  3. Lincoln Paiva Costa1,
  4. Euler de Carvalho Guedes1,
  5. Marco Antônio Percope de Andrade2
  1. 1Departamento de Ortopedia, Hospital Madre Teresa, Belo Horizonte, MG, Brazil
  2. 2Departamento do Aparelho Locomotor da Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
  1. Correspondence to MD Carlos César Vassalo, ccvassalo@gmail.com; ccvassalo{at}gmail.com

Abstract

Purpose To evaluate the primary clinical outcomes of arthroscopic labral repair.

Methods All patients who underwent arthroscopic repair of the acetabular labrum performed by a senior surgeon between October 2010 and December 2013 were invited to participate in this prospective study. Patients included were those who had a preoperative diagnosis of labral tears, a lateral centre edge greater than 25° and a labral tear believed to be suturable during the intraoperative evaluation. Patients with Tönnis grade 2 or grade 3 hip osteoarthritis and those who had undergone a previous hip surgery were excluded. All patients were evaluated using the modified Harris Hip Score (mHHS) during the final appointment before surgery, 4 months after surgery and at the final evaluation. Interviews were conducted by the senior surgeon.

Results Eighty-four patients (90 hips) underwent arthroscopic repair. The mean age was 44.2 years and the mean follow-up period was 43.0 months (minimum of 25 months and maximum of 59 months). The mean mHHS was 80.4 preoperatively, 95.0 at 4 months postoperatively and 96.6 at final evaluation. A statistically significant difference existed among these scores (p<0.001).

Conclusion Arthroscopic labral repair was associated with a clinically significant improvement in mHHS after short-term (4 months) and medium-term (43 months) follow-up.

Level of evidence Level IV, therapeutic case series.

  • arthroscopy
  • hip
  • recovery
  • sporting injuries
  • treatment

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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Footnotes

  • Competing interests None declared.

  • Patient consent Obtained.

  • Ethics approval The study was approved by the research ethics committee of our institution (Comitê de Ética do Hospital Madre Teresa via plataforma Brasil-Governo Federal do Brasil).

  • Provenance and peer review Not commissioned; externally peer reviewed.

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