Arthroscopic hip segmental labral reconstruction for small defects (<1 cm) significantly improved HOS-ADL scores from 73 to 89 (P<0.05) with no revisions or conversions to total hip arthroplasty.
Observational (n=11)
No
Does arthroscopic hip segmental labral reconstruction using autologous capsule tissue or indirect head of the rectus tendon improve patient-reported outcomes in patients with small labral defects?
Arthroscopic hip segmental labral reconstruction using autologous tissue provides significant improvement in patient-reported outcomes for small labral defects.
p-value: p=< 0.05
The purpose of this study was to determine the outcomes following segmental labral reconstruction (labral defects measuring <1 cm) using a segment of capsular tissue or a segment of the indirect head of rectus femoris tendon. Eleven patients (five females and six males) underwent segmental labral reconstruction using a segment of capsule (eight patients) or indirect head of rectus tendon (three patients) by a single surgeon from March 2005 to October 2012. The average age of the patients was 35 years old (range, 20-51 years). Data collected included the pre-and post-operative Hip Outcome Score (HOS-ADL and HOS-SS), the modified Harris Hip Score and patient satisfaction rate (1 unsatisfied, 10 very satisfied), complications, necessity of revision hip arthroscopy and conversion to total hip arthroplasty. Average follow-up time was at 62 months (range, 9-120 months). No patient required revision hip arthroscopy or converted to total hip arthroplasty. The HOS-ADL significantly improved from 73 to 89 (P < 0.05). The HOS-SS showed significant improvement from 52 to 79 and the modified Harris Hip Score significantly improved from 66 to 89. Median patient satisfaction rate was 9 out of 10 (range, 3-10). In a small sample, the arthroscopic hip segmental labral reconstruction showed significant improvement in patient-reported outcomes. This treatment provides an option in cases of small labrum defects (<1 cm) or deficits in patients while providing improved function and high patient satisfaction.
Locks et al. (Wed,) conducted a observational in Segmental labral defects (<1 cm) (n=11). Arthroscopic hip segmental labral reconstruction using autologous capsule tissue or indirect head of the rectus tendon was evaluated on Hip Outcome Score (HOS-ADL) (p=< 0.05). Arthroscopic hip segmental labral reconstruction for small defects (<1 cm) significantly improved HOS-ADL scores from 73 to 89 (P<0.05) with no revisions or conversions to total hip arthroplasty.