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Comparison of early outcomes of arthroscopic labral repair or debridement: a study using the UK Non-Arthroplasty Hip Registry dataset
AIMS: This study uses prospective registry data to compare early patient outcomes following arthroscopic repair or debridement of the acetabular labrum. METHODS: Data on adult patients who underwent arthroscopic labral debridement or repair between 1 January 2012 and 31 July 2019 were extracted from...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The British Editorial Society of Bone & Joint Surgery
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9044091/ https://www.ncbi.nlm.nih.gov/pubmed/35369718 http://dx.doi.org/10.1302/2633-1462.34.BJO-2022-0003.R1 |
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author | Holleyman, Richard James Lyman, Stephen Bankes, Marcus J. K. Board, Tim Nicholas Conroy, Jonathan Lee McBryde, Callum Wilson Andrade, Antonio Jose Malviya, Ajay Khanduja, Vikas |
author_facet | Holleyman, Richard James Lyman, Stephen Bankes, Marcus J. K. Board, Tim Nicholas Conroy, Jonathan Lee McBryde, Callum Wilson Andrade, Antonio Jose Malviya, Ajay Khanduja, Vikas |
author_sort | Holleyman, Richard James |
collection | PubMed |
description | AIMS: This study uses prospective registry data to compare early patient outcomes following arthroscopic repair or debridement of the acetabular labrum. METHODS: Data on adult patients who underwent arthroscopic labral debridement or repair between 1 January 2012 and 31 July 2019 were extracted from the UK Non-Arthroplasty Hip Registry. Patients who underwent microfracture, osteophyte excision, or a concurrent extra-articular procedure were excluded. The EuroQol five-dimension (EQ-5D) and International Hip Outcome Tool 12 (iHOT-12) questionnaires were collected preoperatively and at six and 12 months post-operatively. Due to concerns over differential questionnaire non-response between the two groups, a combination of random sampling, propensity score matching, and pooled multivariable linear regression models were employed to compare iHOT-12 improvement. RESULTS: A total of 2,025 labral debridements (55%) and 1,659 labral repairs (45%) were identified. Both groups saw significant (p < 0.001) EQ-5D and iHOT-12 gain compared to preoperative scores at 12 months (iHOT-12 improvement: labral repair = +28.7 (95% confidence interval (CI) 26.4 to 30.9), labral debridement = +24.7 (95% CI 22.5 to 27.0)), however there was no significant difference between procedures after multivariable modelling. Overall, 66% of cases achieved the minimum clinically important difference (MCID) and 48% achieved substantial clinical benefit at 12 months. CONCLUSION: Both labral procedures were successful in significantly improving early functional outcome following hip arthroscopy, regardless of age or sex. Labral repair was associated with superior outcomes in univariable analysis, however there was no significant superiority demonstrated in the multivariable model. Level of evidence: III Cite this article: Bone Jt Open 2022;3(4):291–301. |
format | Online Article Text |
id | pubmed-9044091 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The British Editorial Society of Bone & Joint Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-90440912022-05-16 Comparison of early outcomes of arthroscopic labral repair or debridement: a study using the UK Non-Arthroplasty Hip Registry dataset Holleyman, Richard James Lyman, Stephen Bankes, Marcus J. K. Board, Tim Nicholas Conroy, Jonathan Lee McBryde, Callum Wilson Andrade, Antonio Jose Malviya, Ajay Khanduja, Vikas Bone Jt Open Hip AIMS: This study uses prospective registry data to compare early patient outcomes following arthroscopic repair or debridement of the acetabular labrum. METHODS: Data on adult patients who underwent arthroscopic labral debridement or repair between 1 January 2012 and 31 July 2019 were extracted from the UK Non-Arthroplasty Hip Registry. Patients who underwent microfracture, osteophyte excision, or a concurrent extra-articular procedure were excluded. The EuroQol five-dimension (EQ-5D) and International Hip Outcome Tool 12 (iHOT-12) questionnaires were collected preoperatively and at six and 12 months post-operatively. Due to concerns over differential questionnaire non-response between the two groups, a combination of random sampling, propensity score matching, and pooled multivariable linear regression models were employed to compare iHOT-12 improvement. RESULTS: A total of 2,025 labral debridements (55%) and 1,659 labral repairs (45%) were identified. Both groups saw significant (p < 0.001) EQ-5D and iHOT-12 gain compared to preoperative scores at 12 months (iHOT-12 improvement: labral repair = +28.7 (95% confidence interval (CI) 26.4 to 30.9), labral debridement = +24.7 (95% CI 22.5 to 27.0)), however there was no significant difference between procedures after multivariable modelling. Overall, 66% of cases achieved the minimum clinically important difference (MCID) and 48% achieved substantial clinical benefit at 12 months. CONCLUSION: Both labral procedures were successful in significantly improving early functional outcome following hip arthroscopy, regardless of age or sex. Labral repair was associated with superior outcomes in univariable analysis, however there was no significant superiority demonstrated in the multivariable model. Level of evidence: III Cite this article: Bone Jt Open 2022;3(4):291–301. The British Editorial Society of Bone & Joint Surgery 2022-04-04 /pmc/articles/PMC9044091/ /pubmed/35369718 http://dx.doi.org/10.1302/2633-1462.34.BJO-2022-0003.R1 Text en © 2022 Author(s) et al. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Hip Holleyman, Richard James Lyman, Stephen Bankes, Marcus J. K. Board, Tim Nicholas Conroy, Jonathan Lee McBryde, Callum Wilson Andrade, Antonio Jose Malviya, Ajay Khanduja, Vikas Comparison of early outcomes of arthroscopic labral repair or debridement: a study using the UK Non-Arthroplasty Hip Registry dataset |
title | Comparison of early outcomes of arthroscopic labral repair or debridement: a study using the UK Non-Arthroplasty Hip Registry dataset |
title_full | Comparison of early outcomes of arthroscopic labral repair or debridement: a study using the UK Non-Arthroplasty Hip Registry dataset |
title_fullStr | Comparison of early outcomes of arthroscopic labral repair or debridement: a study using the UK Non-Arthroplasty Hip Registry dataset |
title_full_unstemmed | Comparison of early outcomes of arthroscopic labral repair or debridement: a study using the UK Non-Arthroplasty Hip Registry dataset |
title_short | Comparison of early outcomes of arthroscopic labral repair or debridement: a study using the UK Non-Arthroplasty Hip Registry dataset |
title_sort | comparison of early outcomes of arthroscopic labral repair or debridement: a study using the uk non-arthroplasty hip registry dataset |
topic | Hip |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9044091/ https://www.ncbi.nlm.nih.gov/pubmed/35369718 http://dx.doi.org/10.1302/2633-1462.34.BJO-2022-0003.R1 |
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