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• W4247485178 abstract "SummaryLabral tears represent the most common pathology encountered during hip arthroscopy. This prospective study reports the results of arthroscopic management of labral tears in a consecutive series of 28 patients (30 hips) with 100% follow-up at 10 years. All patients were evaluated with a modified Harris hip score. 88% of patients with arthritis had been converted to a total hip arthroplasty. Median improvement for those without arthritis was 36 points with 82% successful outcomes. Arthroscopic labral resection in the absence of radiographic evidence of arthritis can result in successful outcomes with 10-year follow-up. Arthritis is a poor prognostic indicator.PurposeLabral tears represent the most common pathology encountered among patients undergoing hip arthroscopy. The purpose of this prospective study is to report the results of arthroscopic management of labral tears in a consecutive series of patients with 10 year follow-up.MethodsSince 1993 all patients undergoing hip arthroscopy have been prospectively assessed with a modified Harris hip score, preoperatively and postoperatively at 1, 3, 6, 12, 24, 60 and 120 months, or until a subsequent procedure was performed. Variables studied included age, sex, diagnosis, duration of symptoms, onset of symptoms, center edge angle, workers compensation and pending litigation. Fifty-eight procedures were performed on 50 patients who had achieved 10 year follow-up. Twenty-eight patients (30 hips) were diagnosed with a tear of the acetabular labrum and represent the substance of this study. Management consisted of selective debridement of the damaged labrum with the creation of a stable transition zone, preserving the healthy portion.ResultsThere was 100% follow-up excluding three deaths (five hips). The most significant confounding variable was the presence of radiographic evidence of arthritis. Among 8 patients with arthritis, 7 (88%) dropped out due to a subsequent total hip arthroplasty. Among 17 patients without arthritis, the median improvement was 36 points (preop 54; postop 90), with 14 (82%) successful outcomes. There were no complications.ConclusionsArthroscopic labral resection in the absence of radiographic evidence of arthritis can result in successful outcomes with 10 year follow-up. Arthritis is a poor prognostic indicator of long term results. SummaryLabral tears represent the most common pathology encountered during hip arthroscopy. This prospective study reports the results of arthroscopic management of labral tears in a consecutive series of 28 patients (30 hips) with 100% follow-up at 10 years. All patients were evaluated with a modified Harris hip score. 88% of patients with arthritis had been converted to a total hip arthroplasty. Median improvement for those without arthritis was 36 points with 82% successful outcomes. Arthroscopic labral resection in the absence of radiographic evidence of arthritis can result in successful outcomes with 10-year follow-up. Arthritis is a poor prognostic indicator. Labral tears represent the most common pathology encountered during hip arthroscopy. This prospective study reports the results of arthroscopic management of labral tears in a consecutive series of 28 patients (30 hips) with 100% follow-up at 10 years. All patients were evaluated with a modified Harris hip score. 88% of patients with arthritis had been converted to a total hip arthroplasty. Median improvement for those without arthritis was 36 points with 82% successful outcomes. Arthroscopic labral resection in the absence of radiographic evidence of arthritis can result in successful outcomes with 10-year follow-up. Arthritis is a poor prognostic indicator. PurposeLabral tears represent the most common pathology encountered among patients undergoing hip arthroscopy. The purpose of this prospective study is to report the results of arthroscopic management of labral tears in a consecutive series of patients with 10 year follow-up. Labral tears represent the most common pathology encountered among patients undergoing hip arthroscopy. The purpose of this prospective study is to report the results of arthroscopic management of labral tears in a consecutive series of patients with 10 year follow-up. MethodsSince 1993 all patients undergoing hip arthroscopy have been prospectively assessed with a modified Harris hip score, preoperatively and postoperatively at 1, 3, 6, 12, 24, 60 and 120 months, or until a subsequent procedure was performed. Variables studied included age, sex, diagnosis, duration of symptoms, onset of symptoms, center edge angle, workers compensation and pending litigation. Fifty-eight procedures were performed on 50 patients who had achieved 10 year follow-up. Twenty-eight patients (30 hips) were diagnosed with a tear of the acetabular labrum and represent the substance of this study. Management consisted of selective debridement of the damaged labrum with the creation of a stable transition zone, preserving the healthy portion. Since 1993 all patients undergoing hip arthroscopy have been prospectively assessed with a modified Harris hip score, preoperatively and postoperatively at 1, 3, 6, 12, 24, 60 and 120 months, or until a subsequent procedure was performed. Variables studied included age, sex, diagnosis, duration of symptoms, onset of symptoms, center edge angle, workers compensation and pending litigation. Fifty-eight procedures were performed on 50 patients who had achieved 10 year follow-up. Twenty-eight patients (30 hips) were diagnosed with a tear of the acetabular labrum and represent the substance of this study. Management consisted of selective debridement of the damaged labrum with the creation of a stable transition zone, preserving the healthy portion. ResultsThere was 100% follow-up excluding three deaths (five hips). The most significant confounding variable was the presence of radiographic evidence of arthritis. Among 8 patients with arthritis, 7 (88%) dropped out due to a subsequent total hip arthroplasty. Among 17 patients without arthritis, the median improvement was 36 points (preop 54; postop 90), with 14 (82%) successful outcomes. There were no complications. There was 100% follow-up excluding three deaths (five hips). The most significant confounding variable was the presence of radiographic evidence of arthritis. Among 8 patients with arthritis, 7 (88%) dropped out due to a subsequent total hip arthroplasty. Among 17 patients without arthritis, the median improvement was 36 points (preop 54; postop 90), with 14 (82%) successful outcomes. There were no complications. ConclusionsArthroscopic labral resection in the absence of radiographic evidence of arthritis can result in successful outcomes with 10 year follow-up. Arthritis is a poor prognostic indicator of long term results. Arthroscopic labral resection in the absence of radiographic evidence of arthritis can result in successful outcomes with 10 year follow-up. Arthritis is a poor prognostic indicator of long term results." @default.
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• W4247485178 date "2008-06-01" @default.
• W4247485178 modified "2023-10-14" @default.
• W4247485178 title "Hip Arthroscopy for Labral Pathology: Prospective Analysis With 10-year Follow-up (SS-57)" @default.
• W4247485178 doi "https://doi.org/10.1016/j.arthro.2008.04.057" @default.
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