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Erschienen in: International Orthopaedics 7/2016

29.07.2015 | Original Paper

Effect of centre-edge angle on clinical and quality of life outcomes after arthroscopic acetabular labral debridement

verfasst von: Ziying Wu, Shiyi Chen, Yunxia Li, Hong Li, Jiwu Chen

Erschienen in: International Orthopaedics | Ausgabe 7/2016

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Abstract

Purpose

The aim of this study was to compare clinical and quality of life outcomes following arthroscopic acetabular labral debridement between patients with different centre-edge (CE) angle.

Methods

A total of 79 patients who underwent hip labral debridement were enrolled in this study. Radiographic measurements of CE angle were collected, and patients were assigned into a normal group (25° < CE angle <40°, n = 68) and dysplasia group (CE angle <20°, n = 11). Clinical outcomes were evaluated by modified Harris Hip Score (mHHS), Hip Outcome Score (HOS) for activities of daily living (ADL) and sports and Short Form 12 (SF-12).

Results

At the final follow-up, the normal group showed significant improvements in mHHS, HOS (ADL and sports) and SF-12 (P < 0.05). However, the dysplasia group revealed significant improvements in mHHS, HOS (ADL) and SF-12 physical component summary (PCS) (P < 0.05) and no significant changes in HOS sports and SF-12 mental component summary (MCS) (P > 0.05). Additionally, there was a greater improvement in clinical scores post-operatively in the normal group compared with the dysplasia group (P < 0.05).

Conclusions

Arthroscopic acetabular labral debridement resulted in significantly greater clinical and quality of life outcomes in patients with CE angle >25° compared with patients with CE angle < 20°.
Literatur
1.
Zurück zum Zitat Ben Tov T, Amar E, Shapira A, Steinberg E, Atoun E, Rath E (2014) Clinical and functional outcome after acetabular labral repair in patients aged older than 50 years. Arthroscopy 30(3):305–310CrossRefPubMed Ben Tov T, Amar E, Shapira A, Steinberg E, Atoun E, Rath E (2014) Clinical and functional outcome after acetabular labral repair in patients aged older than 50 years. Arthroscopy 30(3):305–310CrossRefPubMed
3.
4.
Zurück zum Zitat Harris-Hayes M, Royer NK (2011) Relationship of acetabular dysplasia and femoroacetabular impingement to hip osteoarthritis: a focused review. PM R 3:1055–1067CrossRefPubMedPubMedCentral Harris-Hayes M, Royer NK (2011) Relationship of acetabular dysplasia and femoroacetabular impingement to hip osteoarthritis: a focused review. PM R 3:1055–1067CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Lee HH, Klika AK, Bershadsky B, Krebs VE, Barsoum WK (2010) Factors affecting recovery after arthroscopic labral debridement of the hip. Arthroscopy 26(3):328–334CrossRefPubMed Lee HH, Klika AK, Bershadsky B, Krebs VE, Barsoum WK (2010) Factors affecting recovery after arthroscopic labral debridement of the hip. Arthroscopy 26(3):328–334CrossRefPubMed
6.
Zurück zum Zitat Haviv B, O’Donnell J (2011) Arthroscopic treatment for acetabular labral tears of the hip without bony dysmorphism. Am J Sports Med 39(Suppl 1):79S–84SCrossRefPubMed Haviv B, O’Donnell J (2011) Arthroscopic treatment for acetabular labral tears of the hip without bony dysmorphism. Am J Sports Med 39(Suppl 1):79S–84SCrossRefPubMed
7.
Zurück zum Zitat Mancini D, Fontana A (2014) Five-year results of arthroscopic techniques for the treatment of acetabular chondral lesions in femoroacetabular impingement. Int Orthop 38:2057–2064CrossRefPubMed Mancini D, Fontana A (2014) Five-year results of arthroscopic techniques for the treatment of acetabular chondral lesions in femoroacetabular impingement. Int Orthop 38:2057–2064CrossRefPubMed
8.
Zurück zum Zitat Beutel BG, Collins JA, Garofolo G, Youm T (2015) Hip arthroscopy outcomes, complications, and traction safety in patients with prior lower-extremity arthroplasty. Int Orthop 39:13–18CrossRefPubMed Beutel BG, Collins JA, Garofolo G, Youm T (2015) Hip arthroscopy outcomes, complications, and traction safety in patients with prior lower-extremity arthroplasty. Int Orthop 39:13–18CrossRefPubMed
10.
Zurück zum Zitat Beaulé PE, O’Neill M, Rakhra K (2009) Acetabular labral tears. J Bone Joint Surg Am 91:701–710CrossRefPubMed Beaulé PE, O’Neill M, Rakhra K (2009) Acetabular labral tears. J Bone Joint Surg Am 91:701–710CrossRefPubMed
11.
Zurück zum Zitat Tönnis D, Heinecke A (1999) Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J Bone Joint Surg Am 81:1747–1770PubMed Tönnis D, Heinecke A (1999) Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J Bone Joint Surg Am 81:1747–1770PubMed
12.
Zurück zum Zitat Tönnis D (1976) Normal values of the hip joint for the evaluation of x-rays in children and adults. Clin Orthop Relat Res 119:39–47PubMed Tönnis D (1976) Normal values of the hip joint for the evaluation of x-rays in children and adults. Clin Orthop Relat Res 119:39–47PubMed
13.
Zurück zum Zitat Wiberg G (1939) Studies on dysplastic acetabula and congenital subluxation of the hip joint with special reference to the complication of osteoarthritis. Acta Chir Scand 83(Suppl 58):28–38 Wiberg G (1939) Studies on dysplastic acetabula and congenital subluxation of the hip joint with special reference to the complication of osteoarthritis. Acta Chir Scand 83(Suppl 58):28–38
14.
Zurück zum Zitat Nötzli HP, Wyss TF, Stoecklin CH, Schmid MR, Treiber K, Hodler J (2002) The contour of the femoral head-neck junction as a predictor for the risk of anterior impingement. J Bone Joint Surg Br 84:556–560CrossRefPubMed Nötzli HP, Wyss TF, Stoecklin CH, Schmid MR, Treiber K, Hodler J (2002) The contour of the femoral head-neck junction as a predictor for the risk of anterior impingement. J Bone Joint Surg Br 84:556–560CrossRefPubMed
15.
Zurück zum Zitat Domb B, Hanypsiak B, Botser I (2012) Labral penetration rate in a consecutive series of 300 hip arthroscopies. Am J Sports Med 40(4):864–869CrossRefPubMed Domb B, Hanypsiak B, Botser I (2012) Labral penetration rate in a consecutive series of 300 hip arthroscopies. Am J Sports Med 40(4):864–869CrossRefPubMed
16.
Zurück zum Zitat Philippon MJ, Schroder e Souza BG, Briggs KK (2010) Labrum: resection, repair and reconstruction. Sports Med Arthrosc 18:76–82CrossRefPubMed Philippon MJ, Schroder e Souza BG, Briggs KK (2010) Labrum: resection, repair and reconstruction. Sports Med Arthrosc 18:76–82CrossRefPubMed
17.
Zurück zum Zitat Krych AJ, Thompson M, Knutson Z, Scoon J, Coleman SH (2013) Arthroscopic labral repair versus selective labral debridement in female patients with femoroacetabular impingement: a prospective randomized study. Arthroscopy 29(1):46–53CrossRefPubMed Krych AJ, Thompson M, Knutson Z, Scoon J, Coleman SH (2013) Arthroscopic labral repair versus selective labral debridement in female patients with femoroacetabular impingement: a prospective randomized study. Arthroscopy 29(1):46–53CrossRefPubMed
18.
Zurück zum Zitat Weiland DE, Philippon MJ (2005) Arthroscopic technique of femoroacetabular impingement. Oper Tech Orthop 15:256–260CrossRef Weiland DE, Philippon MJ (2005) Arthroscopic technique of femoroacetabular impingement. Oper Tech Orthop 15:256–260CrossRef
19.
Zurück zum Zitat Harris WH, Bourne RB, Oh I (1979) Intra-articular acetabular labrum: a possible etiological factor in certain cases of osteoarthritis of the hip. J Bone Joint Surg Am 61:510–514PubMed Harris WH, Bourne RB, Oh I (1979) Intra-articular acetabular labrum: a possible etiological factor in certain cases of osteoarthritis of the hip. J Bone Joint Surg Am 61:510–514PubMed
20.
Zurück zum Zitat Liang MH, Katz JN, Phillips C, Sledge C, Cats-Baril W (1991) The total hip arthroplasty outcome evaluation form of the American Academy of Orthopaedic Surgeons. Results of a nominal group process. The American Academy of Orthopaedic Surgeons Task Force on Outcome Studies. J Bone Joint Surg Am 73:639–646PubMed Liang MH, Katz JN, Phillips C, Sledge C, Cats-Baril W (1991) The total hip arthroplasty outcome evaluation form of the American Academy of Orthopaedic Surgeons. Results of a nominal group process. The American Academy of Orthopaedic Surgeons Task Force on Outcome Studies. J Bone Joint Surg Am 73:639–646PubMed
21.
Zurück zum Zitat Parvizi J, Bican O, Bender B, Mortazavi SM, Purtill JJ, Erickson J, Peters C (2009) Arthroscopy for labral tears in patients with developmental dysplasia of the hip: a cautionary note. J Arthroplasty 24:110–113CrossRefPubMed Parvizi J, Bican O, Bender B, Mortazavi SM, Purtill JJ, Erickson J, Peters C (2009) Arthroscopy for labral tears in patients with developmental dysplasia of the hip: a cautionary note. J Arthroplasty 24:110–113CrossRefPubMed
22.
Zurück zum Zitat Yamamoto Y, Ide T, Nakamura M, Hamada Y, Usui I (2005) Arthroscopic partial limbectomy in hip joints with acetabular hypoplasia. Arthroscopy 21:586–591CrossRefPubMed Yamamoto Y, Ide T, Nakamura M, Hamada Y, Usui I (2005) Arthroscopic partial limbectomy in hip joints with acetabular hypoplasia. Arthroscopy 21:586–591CrossRefPubMed
23.
Zurück zum Zitat Byrd JWT, Jones KS (2000) Prospective analysis of hip arthroscopy with 2-year follow-up. Arthroscopy 16:578–587CrossRefPubMed Byrd JWT, Jones KS (2000) Prospective analysis of hip arthroscopy with 2-year follow-up. Arthroscopy 16:578–587CrossRefPubMed
24.
Zurück zum Zitat Byrd JWT, Jones KS (2003) Hip arthroscopy in the presence of dysplasia. Arthroscopy 19(10):1055–1060CrossRefPubMed Byrd JWT, Jones KS (2003) Hip arthroscopy in the presence of dysplasia. Arthroscopy 19(10):1055–1060CrossRefPubMed
25.
Zurück zum Zitat Matheney T, Kim YJ, Zurakowski D, Matero C, Millis M (2009) Intermediate to long-term results following the Bernese periacetabular osteotomy and predictors of clinical outcome. J Bone Joint Surg Am 91:2113–2123CrossRefPubMed Matheney T, Kim YJ, Zurakowski D, Matero C, Millis M (2009) Intermediate to long-term results following the Bernese periacetabular osteotomy and predictors of clinical outcome. J Bone Joint Surg Am 91:2113–2123CrossRefPubMed
26.
Zurück zum Zitat Fujii M, Nakashima Y, Jingushi S, Yamamoto T, Noguchi Y, Suenaga E, Iwamoto Y (2009) Intraarticular findings in symptomatic developmental dysplasia of the hip. J Pediatr Orthop 29(1):9–13CrossRefPubMed Fujii M, Nakashima Y, Jingushi S, Yamamoto T, Noguchi Y, Suenaga E, Iwamoto Y (2009) Intraarticular findings in symptomatic developmental dysplasia of the hip. J Pediatr Orthop 29(1):9–13CrossRefPubMed
27.
Zurück zum Zitat Ross JR, Zaltz I, Nepple JJ, Schoenecker PL, Clohisy JC (2011) Arthroscopic disease classification and interventions as an adjunct in the treatment of acetabular dysplasia. Am J Sports Med 39(Suppl):72S–78SCrossRefPubMed Ross JR, Zaltz I, Nepple JJ, Schoenecker PL, Clohisy JC (2011) Arthroscopic disease classification and interventions as an adjunct in the treatment of acetabular dysplasia. Am J Sports Med 39(Suppl):72S–78SCrossRefPubMed
28.
Zurück zum Zitat Henak CR, Abraham CL, Anderson AE, Maas SA, Ellis BJ, Peters CL, Weiss JA (2014) Patient-specific analysis of cartilage and labrum mechanics in human hips with acetabular dysplasia. Osteoarthritis Cartilage 22(2):210–217CrossRefPubMed Henak CR, Abraham CL, Anderson AE, Maas SA, Ellis BJ, Peters CL, Weiss JA (2014) Patient-specific analysis of cartilage and labrum mechanics in human hips with acetabular dysplasia. Osteoarthritis Cartilage 22(2):210–217CrossRefPubMed
29.
Zurück zum Zitat Henak CR, Ellis BJ, Harris MD, Anderson AE, Peters CL, Weiss JA (2011) Role of the acetabular labrum in load support across the hip joint. J Biomech 44(12):2201–2206CrossRefPubMedPubMedCentral Henak CR, Ellis BJ, Harris MD, Anderson AE, Peters CL, Weiss JA (2011) Role of the acetabular labrum in load support across the hip joint. J Biomech 44(12):2201–2206CrossRefPubMedPubMedCentral
30.
Zurück zum Zitat Chegini S, Beck M, Ferguson SJ (2009) The effects of impingement and dysplasia on stress distributions in the hip joint during sitting and walking: a finite element analysis. J Orthop Res 27:195–201CrossRefPubMed Chegini S, Beck M, Ferguson SJ (2009) The effects of impingement and dysplasia on stress distributions in the hip joint during sitting and walking: a finite element analysis. J Orthop Res 27:195–201CrossRefPubMed
31.
Zurück zum Zitat Crawford MJ, Dy CJ, Alexander JW, Thompson M, Schroder SJ, Vega CE, Patel RV, Miller AR, McCarthy JC, Lowe WR, Noble PC (2007) The biomechanics of the hip labrum and the stability of the hip. Clin Orthop Relat Res 465:16–22PubMed Crawford MJ, Dy CJ, Alexander JW, Thompson M, Schroder SJ, Vega CE, Patel RV, Miller AR, McCarthy JC, Lowe WR, Noble PC (2007) The biomechanics of the hip labrum and the stability of the hip. Clin Orthop Relat Res 465:16–22PubMed
32.
Zurück zum Zitat Akiyama K, Sakai T, Koyanagi J, Yoshikawa H, Sugamoto K (2011) Evaluation of translation in the normal and dysplastic hip using three-dimensional magnetic resonance imaging and voxel-based registration. Osteoarthritis Cartilage 19:700–710CrossRefPubMed Akiyama K, Sakai T, Koyanagi J, Yoshikawa H, Sugamoto K (2011) Evaluation of translation in the normal and dysplastic hip using three-dimensional magnetic resonance imaging and voxel-based registration. Osteoarthritis Cartilage 19:700–710CrossRefPubMed
33.
Zurück zum Zitat Carreira DS, Mazzocca AD, Oryhon J, Brown FM, Hayden JK, Romeo AA (2006) A prospective outcome evaluation of arthroscopic Bankart repairs: minimum 2-year follow-up. Am J Sports Med 34(5):771–777CrossRefPubMed Carreira DS, Mazzocca AD, Oryhon J, Brown FM, Hayden JK, Romeo AA (2006) A prospective outcome evaluation of arthroscopic Bankart repairs: minimum 2-year follow-up. Am J Sports Med 34(5):771–777CrossRefPubMed
34.
Zurück zum Zitat Boykin RE, Patterson D, Briggs KK, Dee A, Philippon MJ (2013) Results of arthroscopic labral reconstruction of the hip in elite athletes. Am J Sports Med 41(10):2296–2301CrossRefPubMed Boykin RE, Patterson D, Briggs KK, Dee A, Philippon MJ (2013) Results of arthroscopic labral reconstruction of the hip in elite athletes. Am J Sports Med 41(10):2296–2301CrossRefPubMed
35.
Zurück zum Zitat Kutty S, Schneider P, Faris P, Kiefer G, Frizzell B, Park R, Powell JN (2012) Reliability and predictability of the centre-edge angle in the assessment of pincer femoroacetabular impingement. Int Orthop 36:505–510CrossRefPubMed Kutty S, Schneider P, Faris P, Kiefer G, Frizzell B, Park R, Powell JN (2012) Reliability and predictability of the centre-edge angle in the assessment of pincer femoroacetabular impingement. Int Orthop 36:505–510CrossRefPubMed
36.
Zurück zum Zitat Okano K, Yamaguchi K, Ninomiya Y, Matsubayashi S, Osaki M, Takahashi K (2013) Femoral head deformity and severity of acetabular dysplasia of the hip. Bone Joint J 95-B(9):1192–1196CrossRefPubMed Okano K, Yamaguchi K, Ninomiya Y, Matsubayashi S, Osaki M, Takahashi K (2013) Femoral head deformity and severity of acetabular dysplasia of the hip. Bone Joint J 95-B(9):1192–1196CrossRefPubMed
Metadaten
Titel
Effect of centre-edge angle on clinical and quality of life outcomes after arthroscopic acetabular labral debridement
verfasst von
Ziying Wu
Shiyi Chen
Yunxia Li
Hong Li
Jiwu Chen
Publikationsdatum
29.07.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 7/2016
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-015-2923-3

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