Are Results of Arthroscopic Labral Repair Durable in Dysplasia at Midterm Follow-Up? A 2-Center Matched Cohort Analysis
Authors
Hevesi M, Hartigan DE, Wu IT, Levy BA, Domb BG, Krych AJ
Journal: Am J Sports Med. 2018 Jun;46(7):1674-1684.
DOI: 10.1177/0363546518767399
PMID: 29723044
Background
This study assesses the midterm durability of arthroscopic labral repair in patients with hip dysplasia compared to a matched control group.
Methods
Patients with a lateral center edge angle (LCEA) <25° who underwent arthroscopic labral repair were matched with controls. Outcome measures included VAS, modified Harris Hip Score (mHHS), and Hip Outcome Score-Sports Specific Subscale (HOS-SSS). Failure and outcome data were analyzed at a mean follow-up of 5.7 years.
Key Findings
Dysplastic patients achieved similar improvements in PROs compared to controls. Five-year failure-free survival was 83.3% for the dysplastic group and 78.1% for the controls. BMI ≤30 was associated with an increased risk of revision surgery.
Conclusions
Arthroscopic labral repair in patients with hip dysplasia yields favorable midterm outcomes comparable to a rigorously matched control group. Careful patient selection is essential to avoid failure.
What Does This Mean for Patients
Patients with hip dysplasia can expect good results from arthroscopic labral repair if selected carefully, with similar midterm outcomes to patients without dysplasia.
DOI: 10.1177/0363546518767399