PMID- 28731779 OWN - NLM STAT- MEDLINE DCOM- 20180306 LR - 20181202 IS - 1552-3365 (Electronic) IS - 0363-5465 (Linking) VI - 45 IP - 12 DP - 2017 Oct TI - Arthroscopic Labral Base Repair in the Hip: 5-Year Minimum Clinical Outcomes. PG - 2882-2890 LID - 10.1177/0363546517713731 [doi] AB - BACKGROUND: Arthroscopic labral base repair (LBR) in the hip is a previously described technique designed to restore the native functional anatomy of the labrum by reproducing its seal against the femoral head. LBR has been shown to have good short-term outcomes. Hypothesis/Purpose: The purpose was to evaluate clinical outcomes of an LBR cohort with a minimum 5-year follow-up. It was hypothesized that patients who underwent LBR would continue to have significant improvement from their preoperative scores and maintain scores similar to their 2-year outcomes. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Data for patients undergoing primary hip arthroscopic surgery with LBR from February 2008 to May 2011 with a minimum 5-year follow-up were prospectively collected and retrospectively reviewed. Patients with preoperative Tonnis osteoarthritis grade >/=2, previous hip conditions (slipped capital femoral epiphysis, avascular necrosis, Legg-Calv-Perthes disease), severe dysplasia (lateral center-edge angle <18 degrees ), or previous ipsilateral hip surgery were excluded. Statistical equivalence tests evaluated patient-reported outcomes (PROs) including the modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), Hip Outcome Score-Sport-Specific Subscale (HOS-SSS), visual analog scale (VAS) for pain, and patient satisfaction (0-10 scale; 10 = very satisfied). RESULTS: Of the 70 patients (74 hips) who met inclusion and exclusion criteria, 60 (85.7%) patients (64 hips) were available at a minimum 5-year follow-up. All PRO scores significantly improved from preoperative values with a mean follow-up of 67.8 +/- 7.4 months (range, 60.0-89.7 months). The mean mHHS increased from 64.4 +/-13.8 to 85.3 +/- 17.7 ( P < .001), the mean NAHS from 63.7 +/- 17.0 to 87.0 +/- 14.7 ( P < .001), and the mean HOS-SSS from 47.1 +/- 23.2 to 76.5 +/- 25.9 ( P < .001). The mean VAS score decreased from 5.9 +/- 2.4 to 2.0 +/- 2.1 ( P < .001). The mean patient satisfaction score was 8.1 +/- 2.0. The improvement in PRO scores was sustained from 2- to 5-year follow-up. At 2 and 5 years, survivorship rates were 96.9% and 90.6%, respectively, and the respective secondary arthroscopic surgery rates were 10.9% (7/64) and 17.2% (11/64). CONCLUSION: At a minimum 5-year follow-up, arthroscopic LBR continued to be a successful procedure and valid technique based on 3 PROs, the VAS, patient satisfaction, and survivorship. Significantly improved outcome scores were maintained compared with preoperative values and showed no signs of deterioration from the 2-year scores. The long-term survivorship of hip arthroscopic surgery has yet to be determined; however, these midterm results demonstrate the rates of additional procedures (both secondary arthroscopic surgery and conversion to total hip arthroplasty), that may be necessary after 2 years. FAU - Domb, Benjamin G AU - Domb BG AD - American Hip Institute, Westmont, Illinois, USA. AD - Hinsdale Orthopaedics, Hinsdale, Illinois, USA. FAU - Yuen, Leslie C AU - Yuen LC AD - American Hip Institute, Westmont, Illinois, USA. FAU - Ortiz-Declet, Victor AU - Ortiz-Declet V AD - American Hip Institute, Westmont, Illinois, USA. FAU - Litrenta, Jody AU - Litrenta J AD - American Hip Institute, Westmont, Illinois, USA. FAU - Perets, Itay AU - Perets I AD - American Hip Institute, Westmont, Illinois, USA. FAU - Chen, Austin W AU - Chen AW AD - American Hip Institute, Westmont, Illinois, USA. LA - eng PT - Journal Article DEP - 20170721 PL - United States TA - Am J Sports Med JT - The American journal of sports medicine JID - 7609541 SB - IM MH - Aged MH - Aged, 80 and over MH - Arthroscopy/*methods MH - Cohort Studies MH - Female MH - Femur Head/surgery MH - Follow-Up Studies MH - Hip/diagnostic imaging/*surgery MH - Hip Injuries/diagnostic imaging/*surgery MH - Humans MH - Male MH - Middle Aged MH - Pain Measurement MH - Patient Reported Outcome Measures MH - Patient Satisfaction MH - Radiography MH - Retrospective Studies MH - Treatment Outcome MH - Visual Analog Scale OTO - NOTNLM OT - hip arthroscopic surgery OT - labral base repair OT - labral repair technique OT - labral tear OT - midterm outcomes EDAT- 2017/07/22 06:00 MHDA- 2018/03/07 06:00 CRDT- 2017/07/22 06:00 PHST- 2017/07/22 06:00 [pubmed] PHST- 2018/03/07 06:00 [medline] PHST- 2017/07/22 06:00 [entrez] AID - 10.1177/0363546517713731 [doi] PST - ppublish SO - Am J Sports Med. 2017 Oct;45(12):2882-2890. doi: 10.1177/0363546517713731. Epub 2017 Jul 21.