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Preserving the chondrolabral junction reduces the rate of capsular adhesions

The operative treatment of pincer-type femoroacetabular impingement (FAI) has become an increasingly more common procedure. Classically, the labrum is incised at the chondrolabral junction (CLJ), or a concurrent tear is extended to allow access to the acetabular rim facilitating acetabuloplasty. The...

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Autores principales: Webb, Mark S L, Devitt, Brian M, O’Donnell, John M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6501442/
https://www.ncbi.nlm.nih.gov/pubmed/31069095
http://dx.doi.org/10.1093/jhps/hnz005
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author Webb, Mark S L
Devitt, Brian M
O’Donnell, John M
author_facet Webb, Mark S L
Devitt, Brian M
O’Donnell, John M
author_sort Webb, Mark S L
collection PubMed
description The operative treatment of pincer-type femoroacetabular impingement (FAI) has become an increasingly more common procedure. Classically, the labrum is incised at the chondrolabral junction (CLJ), or a concurrent tear is extended to allow access to the acetabular rim facilitating acetabuloplasty. The labrum is subsequently repaired using suture anchors. More recently, acetabuloplasty has been performed without incising the labrum and negating the need to use suture anchors. The aim of this study is to determine whether preserving the CLJ reduces the incidence of revision hip arthroscopy for the treatment of capsulolabral adhesions. This retrospective study compared two cohorts of patients undergoing hip arthroscopy for pincer-type FAI from August 2002 to April 2015. The groups analysed were patients undergoing acetabuloplasty with labral repair (LR) and those with no labral repair (NLR). The revision rates and causes for revision were compared using the χ(2) analysis. There were 1010 cases in total. Acetabuloplasty with LR was performed in 546 hips (519 patients), while acetabuloplasty with NLR was performed in 464 hips (431 patients). In the LR group, there were 54 (9.9%) revisions, 25 (46%) of which were due to capsulolabral adhesions. The NLR group had 36 (7.8%) revisions with six (17%) due to capsulolabral adhesions. Preserving the CLJ, thereby avoiding the need for drilling and the insertion of suture anchors, when performing an acetabuloplasty for pincer-type FAI, significantly reduces the rate of symptomatic adhesions requiring revision arthroscopy.
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spelling pubmed-65014422019-05-08 Preserving the chondrolabral junction reduces the rate of capsular adhesions Webb, Mark S L Devitt, Brian M O’Donnell, John M J Hip Preserv Surg Research Articles The operative treatment of pincer-type femoroacetabular impingement (FAI) has become an increasingly more common procedure. Classically, the labrum is incised at the chondrolabral junction (CLJ), or a concurrent tear is extended to allow access to the acetabular rim facilitating acetabuloplasty. The labrum is subsequently repaired using suture anchors. More recently, acetabuloplasty has been performed without incising the labrum and negating the need to use suture anchors. The aim of this study is to determine whether preserving the CLJ reduces the incidence of revision hip arthroscopy for the treatment of capsulolabral adhesions. This retrospective study compared two cohorts of patients undergoing hip arthroscopy for pincer-type FAI from August 2002 to April 2015. The groups analysed were patients undergoing acetabuloplasty with labral repair (LR) and those with no labral repair (NLR). The revision rates and causes for revision were compared using the χ(2) analysis. There were 1010 cases in total. Acetabuloplasty with LR was performed in 546 hips (519 patients), while acetabuloplasty with NLR was performed in 464 hips (431 patients). In the LR group, there were 54 (9.9%) revisions, 25 (46%) of which were due to capsulolabral adhesions. The NLR group had 36 (7.8%) revisions with six (17%) due to capsulolabral adhesions. Preserving the CLJ, thereby avoiding the need for drilling and the insertion of suture anchors, when performing an acetabuloplasty for pincer-type FAI, significantly reduces the rate of symptomatic adhesions requiring revision arthroscopy. Oxford University Press 2019-03-19 /pmc/articles/PMC6501442/ /pubmed/31069095 http://dx.doi.org/10.1093/jhps/hnz005 Text en © The Author(s) 2019. Published by Oxford University Press http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Research Articles
Webb, Mark S L
Devitt, Brian M
O’Donnell, John M
Preserving the chondrolabral junction reduces the rate of capsular adhesions
title Preserving the chondrolabral junction reduces the rate of capsular adhesions
title_full Preserving the chondrolabral junction reduces the rate of capsular adhesions
title_fullStr Preserving the chondrolabral junction reduces the rate of capsular adhesions
title_full_unstemmed Preserving the chondrolabral junction reduces the rate of capsular adhesions
title_short Preserving the chondrolabral junction reduces the rate of capsular adhesions
title_sort preserving the chondrolabral junction reduces the rate of capsular adhesions
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6501442/
https://www.ncbi.nlm.nih.gov/pubmed/31069095
http://dx.doi.org/10.1093/jhps/hnz005
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