Arthroscopic Ligamentum Teres Reconstruction: Minimum 2-Year Patient-Reported Outcomes With Subanalysis of Patients With Ehlers-Danlos Syndrome
Authors
Rosinsky PJ, Annin S, Maldonado DR, Kyin C, Meghpara MB, Shapira J, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2020.04.028
Background
The ligamentum teres is an important structure in the hip joint that can become damaged, causing pain and instability. Arthroscopic ligamentum teres reconstruction (LTR) has been proposed as a solution for patients with multilateral hip instability that cannot be treated with other methods.
Methods
This study reviewed outcomes for patients who underwent LTR, including a subgroup with Ehlers-Danlos syndrome (EDS), a condition that causes connective tissue problems. Patients were followed for at least 2 years to assess pain, hip function, and overall satisfaction.
Key Findings
Most patients who underwent LTR reported significant improvements in hip function, pain reduction, and satisfaction after surgery. However, patients with Ehlers-Danlos syndrome had a higher failure rate, suggesting that the procedure may be less effective for individuals with this condition.
Conclusions
LTR is an effective procedure for treating hip instability due to ligamentum teres damage in most patients, although the results may be less favorable for those with underlying connective tissue disorders like Ehlers-Danlos syndrome.
What Does This Mean for Patients
If you're considering LTR for hip instability, the procedure is generally effective, but those with Ehlers-Danlos syndrome or similar conditions should have realistic expectations as the procedure may not be as successful in these cases.