Principal Investigator: Scott D. Martin, MD
INTRODUCTION: The purpose of this study was to present minimum two-year outcomes for patients undergoing arthroscopic treatment for acetabular labral tears and concomitant femoroacetabular impingement using a novel puncture capsulotomy technique, which preserves capsuloligamentous integrity by avoiding transection of the iliofemoral ligament.
METHODS: This is a case series on patients who underwent arthroscopic acetabular labral tear treatment between December 2013 and May 2019. Outcome data consisted of patient-reported outcome measures.
RESULTS: 163 hips were included in this study with a mean patient follow-up of 30.4 (95% CI: 28.5-32.3) months. There were significant improvements in mean enrollment compared to final follow-up scores for the iHOT-33 [39.6 (36.8-42.4) vs. 76.1 (72.7-79.6)], HOS-ADL [69.9 (66.9-72.9) vs 89.3 (87.3-91.3)], mHHS [60.1 (57.8-62.3) vs. 84.9 (82.5-87.2)] and HOS-Sport [41.5 (37.7-45.4) vs. 75.7 (71.7-79.7)], (p<0.001 for all). VAS pain scores were noted to significantly improve throughout the duration of the postoperative period. At 2-year follow-up, 81.0%, 62.0%, 58.9% of hips achieved clinically meaningful iHOT-33 thresholds for MCID, PASS and SCB, respectively.
CONCLUSION: The puncture capsulotomy approach for hip arthroscopy demonstrated significantly improved functional and clinical outcomes at a minimum of two-years follow-up. Thus, demonstrating that puncture capsulotomy is an efficacious technique for arthroscopic acetabular labral repair.
INTRODUCTION: The purpose of this study was to present minimum two-year outcomes for patients undergoing arthroscopic treatment for acetabular labral tears and concomitant femoroacetabular impingement using a novel puncture capsulotomy technique, which preserves capsuloligamentous integrity by avoiding transection of the iliofemoral ligament.
METHODS: This is a case series on patients who underwent arthroscopic acetabular labral tear treatment between December 2013 and May 2019. Outcome data consisted of patient-reported outcome measures.
RESULTS: 163 hips were included in this study with a mean patient follow-up of 30.4 (95% CI: 28.5-32.3) months. There were significant improvements in mean enrollment compared to final follow-up scores for the iHOT-33 [39.6 (36.8-42.4) vs. 76.1 (72.7-79.6)], HOS-ADL [69.9 (66.9-72.9) vs 89.3 (87.3-91.3)], mHHS [60.1 (57.8-62.3) vs. 84.9 (82.5-87.2)] and HOS-Sport [41.5 (37.7-45.4) vs. 75.7 (71.7-79.7)], (p<0.001 for all). VAS pain scores were noted to significantly improve throughout the duration of the postoperative period. At 2-year follow-up, 81.0%, 62.0%, 58.9% of hips achieved clinically meaningful iHOT-33 thresholds for MCID, PASS and SCB, respectively.
CONCLUSION: The puncture capsulotomy approach for hip arthroscopy demonstrated significantly improved functional and clinical outcomes at a minimum of two-years follow-up. Thus, demonstrating that puncture capsulotomy is an efficacious technique for arthroscopic acetabular labral repair.
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