دورية أكاديمية
أعرض في EDS

Comparison of early outcomes of arthroscopic labral repair or debridement : a study using the UK Non-Arthroplasty Hip Registry dataset.

التفاصيل البيبلوغرافية
العنوان: Comparison of early outcomes of arthroscopic labral repair or debridement : a study using the UK Non-Arthroplasty Hip Registry dataset.
المؤلفون: Holleyman RJ; Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK., Lyman S; Hospital for Special Surgery, New York, New York, USA.; Kyushu University School of Medicine, Fukuoka, Japan., Bankes MJK; Guy's and St Thomas' NHS Foundation Trust, London, UK.; Fortius Clinic, London, UK., Board TN; Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK., Conroy JL; Harrogate and District NHS Foundation Trust, Harrogate, UK., McBryde CW; The Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK., Andrade AJ; Royal Berkshire NHS Foundation Trust, Reading, UK., Malviya A; Northumbria Healthcare NHS Foundation Trust, Newcastle upon Tyne, UK.; Newcastle University, Newcastle upon Tyne, United Kingdom., Khanduja V; Addenbrooke's Hospital - The Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
المصدر: Bone & joint open [Bone Jt Open] 2022 Apr; Vol. 3 (4), pp. 291-301.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: The British Editorial Society of Bone & Joint Surgery Country of Publication: England NLM ID: 101770336 Publication Model: Print Cited Medium: Internet ISSN: 2633-1462 (Electronic) Linking ISSN: 26331462 NLM ISO Abbreviation: Bone Jt Open Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: London : The British Editorial Society of Bone & Joint Surgery, [2020]-
مستخلص: 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.
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فهرسة مساهمة: Keywords: Arthroscopy; Debridement; EQ-5D; Femoroacetabular Impingement; Hip; Labral debridement; Labral repair; Labrum; Outcomes; arthroscopic labral repair; clinical outcomes; functional outcome scores; hip arthroscopies; hips; labral debridements; labral repair techniques; propensity score matching
تواريخ الأحداث: Date Created: 20220404 Latest Revision: 20220716
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9044091
DOI: 10.1302/2633-1462.34.BJO-2022-0003.R1
PMID: 35369718
قاعدة البيانات: MEDLINE
الوصف
تدمد:2633-1462
DOI:10.1302/2633-1462.34.BJO-2022-0003.R1