Background
Methods
Patient selection criteria
Indications for surgery
Surgical technique
Rehabilitation
Patient-reported outcomes
Sub-analysis
Statistical analysis
Results
Patient demographics
Value | |
---|---|
Patients and hips included in study | 25 patients, 28 hips |
Left | 10 (35.7%) |
Right | 18 (64.3%) |
Gender | |
Male | 14 (50.0%) |
Female | 14 (50.0%) |
Age at surgery (years, mean, SD, range) | 41.4 ± 12.7 (14.5–70.0) |
BMI (mean, SD, range) | 25.1 ± 3.9 (18.3–34.2) |
Follow-up time (months, mean, SD, range) | 66.8 ± 20.2 (60.0–114.2) |
Follow-up percentage | 90.32% |
Flexion° (mean, SD, range) | 116.3 ± 14.8 (85–140) |
Internal Rotation° (mean, SD, range) | 20.0 ± 14.5 (5–55) |
External Rotation° (mean, SD, range) | 42.5 ± 13.6 (15–70) |
Intraoperative findings
n (%) | |
---|---|
Seldes Tear Type | |
0 | 0 |
1 | 12 (42.9%) |
2 | 4 (14.3%) |
1 & 2 | 12 (42.9%) |
ALAD | |
0 | 1 (3.6%) |
1 | 3 (10.7%) |
2 | 10 (35.7%) |
3 | 10 (35.7%) |
4 | 4 (14.3%) |
Outerbridge (Acetabular) | |
0 | 0 (0.0%) |
1 | 3 (10.7%) |
2 | 10 (35.7%) |
3 | 5 (17.9%) |
4 | 10 (35.7%) |
Outerbridge (Femoral Head) | |
0 | 16 (57.1%) |
1 | 0 (0.0%) |
2 | 6 (21.4%) |
3 | 3 (10.7%) |
4 | 3 (10.7%) |
LT Percentile Class (Domb) | |
0–0% | 14 (50.0%) |
1–0% < 50% | 7 (25.0%) |
2–50% < 100% | 7 (25.0%) |
3–100% | 0 (0.0%) |
LT Villar Classa | |
0 - No tear | 14 (53.8%) |
1 - Complete Rupture | 0 (0%) |
2 - Partial Tear | 9 (34.6%) |
3 - Degenerate Tear | 3 (11.5%) |
Arthroscopic procedures
n (%) | |
---|---|
Labral treatment | |
Repair | 18 (64.3%) |
Debridement | 8 (28.6%) |
Resection | 1 (3.6%) |
Reconstruction | 1 (3.6%) |
Capsular Treatment | |
Repair/Plication | 12 (42.9%) |
Release | 16 (57.1%) |
Femoroplasty | 25 (89.3%) |
Acetabuloplasty | 21 (75.0%) |
Iliopsoas fractional lengthening | 10 (35.7%) |
Ligamentum teres debridement | 12 (42.9%) |
Removal of loose body | 7 (25.0%) |
Synovectomy | 8 (28.6%) |
Trochanteric bursectomy | 6 (21.4%) |
Gluteus medius/minimus repair | 5 (17.9%) |
Acetabular microfracture | 6 (21.4%) |
Femoral head microfracture | 2 (7.1%) |
Acetabular chondroplasty | 6 (21.4%) |
Femoral head chondroplasty | 4 (14.3%) |
Outcomes at latest follow-up
Preoperative | Minimum Five-Year Follow-Up | P-Value | |
---|---|---|---|
mHHS (mean, SD) | 67.0 ± 17.2 | 86.7 ± 16.4 | < 0.001 |
NAHS (mean, SD) | 65.9 ± 17.3 | 87.2 ± 17.4 | < 0.001 |
HOS-SSS (mean, SD) | 50.0 ± 25.0 | 77.9 ± 25.2 | 0.009 |
IHOT (mean, SD) | 80.7 ± 26.6 | ||
SF-12 Mental (mean, SD) | 58.8 ± 3.0 | ||
SF-12 Physical (mean, SD) | 51.9 ± 8.3 | ||
VR-12 Mental (mean, SD) | 63.4 ± 3.5 | ||
VR-12 Physical (mean, SD) | 52.9 ± 8.0 | ||
VAS (mean, SD) | 5.4 ± 2.3 | 1.8 ± 2.5 | < 0.001 |
Patient Satisfaction (mean, SD) | 8.0 ± 3.2 |
Competitive (n = 12) | Recreational (n = 18) | P-value | |
---|---|---|---|
mHHS (mean, SD) | |||
Pre | 69.7 ± 12.6 | 65.9 ± 18.9 | 0.607 |
Latest | 95.6 ± 8.3 | 83.0 ± 17.7 | 0.075 |
Pre-Post P-Value | 0.016 | 0.009 | |
Δ | 25.8 ± 16.4 | 17.5 ± 25.2 | 0.433 |
NAHS (mean, SD) | |||
Pre | 72.0 ± 16.2 | 63.5 ± 17.5 | 0.249 |
Latest | 94.6 ± 10.4 | 84.2 ± 19.0 | 0.130 |
Pre-Post P-Value | 0.047 | 0.002 | |
Δ | 20.4 ± 18.0 | 20.3 ± 24.2 | 0.991 |
HOS-SSS (mean, SD) | |||
Pre | 54.9 ± 25.0 | 48.0 ± 25.4 | 0.521 |
Latest | 91.7 ± 22.0 | 71.9 ± 24.7 | 0.027 |
Pre-Post P-Value | 0.063 | 0.058 | |
Δ | 34.9 ± 36.4 | 20.8 ± 33.7 | 0.381 |
VAS (mean, SD) | |||
Pre | 5.4 ± 1.8 | 5.4 ± 2.5 | 0.98 |
Latest | 0.4 ± 0.8 | 2.4 ± 2.8 | 0.041 |
Pre-Post P-Value | 0.016 | < 0.001 | |
Δ | −4.8 ± 2.0 | −3.2 ± 2.5 | 0.146 |
IHOT (mean, SD) | 91.4 ± 18.5 | 76.0 ± 28.6 | 0.062 |
SF-12 Mental (mean, SD) | 59.0 ± 3.2 | 58.8 ± 3.0 | 0.535 |
SF-12 Physical (mean, SD) | 55.5 ± 2.4 | 50.4 ± 9.5 | 0.058 |
VR-12 Mental (mean, SD) | 64.4 ± 2.7 | 63.0 ± 3.8 | 0.535 |
VR-12 Physical (mean, SD) | 56.3 ± 2.1 | 51.4 ± 9.1 | 0.058 |
Patient Satisfaction (mean, SD) | 8.4 ± 2.9 | 7.8 ± 3.4 | 0.757 |