Poster Clinical Outcome

P020 - Primary Segmental Labral Reconstruction for Irreparable Labral Tears in the Hip: Minimum Five-Year Outcomes

Presentation Topic
Clinical Outcome
Date
13.04.2022
Lecture Time
09:30 - 09:30
Room
Exhibition Foyer
Session Name
7.3 - Poster Viewing / Coffee Break / Exhibition
Session Type
Poster Session
Speaker
  • P. Padilla (Des Plaines, US)
Authors
  • B. Domb (Des Plaines, US)
  • D. Maldonado (Des Plaines, US)
  • C. Kyin (Des Plaines, US)
  • J. Simpson (Des Plaines, US)
  • S. Annin (Des Plaines, US)
  • A. Jimenez (Des Plaines, US)
  • B. Saks (Des Plaines, US)
  • A. Lall (Des Plaines, US)
  • T. Harris (Des Plaines, US)
  • P. Padilla (Des Plaines, US)
  • P. Sabetian (Des Plaines, US)
Disclosure
Financial interests: Amplitude, Arthrex, ATI, Breg, DJO Global, Kauffman Foundation, MAKO Surgical, Medacta, Medwest, Orthomerica, Pacira Pharmaceuticals, Stryker Affiliations: American Hip Institute, Hinsdale Orthopaedics, North Shore Surgical Suites,

Abstract

Purpose

1) To evaluate minimum 5-year patient-reported outcome scores (PROs) in patients who underwent primary SLR with hamstring graft, in the setting of femoroacetabular impingement syndrome (FAIS) and irreparable labral tears, and 2) to compare the outcomes of hamstring autograft vs. allograft in a subanalysis using propensity-matched groups.

Methods and Materials

Prospectively collected data were retrospectively reviewed for patients who underwent primary hip arthroscopy from September 2010 to November 2015. Patients were included if they underwent SLR using hamstring autograft or allograft and had preoperative and minimum 5-year PROs. Exclusion criteria were previous ipsilateral hip surgery/conditions, dysplasia, or Tönnis grade > 1. Patients with autograft SLR were propensity-matched 1:1 based on age, gender, and body mass index (BMI) to patients who underwent SLR using hamstring allograft. The minimal clinically important difference (MCID), and patient acceptable symptomatic state (PASS) were calculated.

Results

48 hips were eligible to be included in this study, and 41 hips (85.4%) had minimum 5-year follow-up reporting significant improvement in all PROs. Fifteen of the 41 included patients underwent a SLR with a hamstring autograft and were matched to 15 patients with labral reconstruction using allograft hamstring. Groups were similar for gender (P >.999), age (P = .775), and BMI (P = .486). The average follow-up time was 80.8 ± 25.5 and 66.1 ± 8.3 months (P = .223) for the autograft and the allograft groups, respectively. Baseline PROs, preoperative radiographic measurements, surgical findings and intra-operative procedures were similar. The groups achieved significant and comparable improvement for all PROs (P < .0001), satisfaction (P = .187), and rate of achieving the MCID and PASS.

Conclusion

At minimum 5-year follow-up, patients who underwent primary arthroscopic SLR, in the context of FAIS and irreparable labra, reported significant improvement and comparable postoperative scores for PROs, patient satisfaction, MCID, and PASS using either autograft or allograft hamstrings.

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