Multicenter Analysis of Midterm Clinical Outcomes of Arthroscopic Labral Repair in the Hip: Minimum 5-Year Follow-up
Authors
Hevesi M, Krych AJ, Johnson NR, Redmond JM, Hartigan DE, Levy BA, Domb BG
Journal: Am J Sports Med. 2018 Feb;46(2):280–287
DOI: 10.1177/0363546517734180
Background
While hip labral repair has shown promising short-term outcomes, midterm durability across multiple centers is less well known.
Methods: This multicenter cohort study followed 303 patients for a mean of 5.7 years after arthroscopic labral repair. Outcomes included mHHS, HOS-SSS, and VAS pain scores. Risk factors such as age, BMI, and Tönnis grade were analyzed.
Key Findings
Patients experienced significant improvements in all outcome measures. However, worse outcomes were noted in patients with Tönnis grade 2 radiographs, BMI >30, and age >35 at surgery. Revision surgery was required in 12.2% of cases.
Conclusions
Labral repair yields sustained midterm improvements, though outcomes may be diminished in older, higher BMI, or more degenerative hips.
What Does This Mean for Patients
Labral repair can provide lasting benefit, but certain factors like age, weight, and degree of arthritis may impact recovery and long-term success.