PMID- 32675477
OWN - NLM
STAT- MEDLINE
DCOM- 20210401
LR  - 20210401
IS  - 1535-1386 (Electronic)
IS  - 0021-9355 (Linking)
VI  - 102
IP  - 18
DP  - 2020 Sep 16
TI  - Acetabular Labral Reconstruction with Iliotibial Band Autograft: Outcome and 
      Survivorship at a Minimum 10-Year Follow-up.
PG  - 1581-1587
LID - 10.2106/JBJS.19.01499 [doi]
AB  - BACKGROUND: Labral reconstruction has been shown to result in improved 
      patient-reported outcomes (PROs) at mid-term follow-up in patients with a 
      deficient labrum. The purpose of this study was to determine survivorship and 
      PROs at a minimum 10-year follow-up. METHODS: A retrospective evaluation of a 
      prospectively collected single-surgeon database included 91 hips (89 patients) 
      that underwent arthroscopic labral reconstruction with iliotibial band autograft 
      between 2006 and 2008. The primary PRO was the Hip Outcome Score (HOS)-activities 
      of daily living (ADL). The modified Harris hip score (mHHS), HOS-sports, Western 
      Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, and patient 
      satisfaction (on a scale of 1 to 10) were also collected at a 10-year minimum 
      follow-up. Survivorship analysis curves were evaluated. RESULTS: Eighty-two hips 
      were evaluated at a 10-year minimum follow-up. Overall survivorship, with 
      revision hip arthroscopy or total hip arthroplasty (THA) as the end point, was 
      70% at 5 years and 61% at 10 years, and the mean survival time was 9 years (95% 
      confidence interval = 7.6 to 10 years). For the patients who did not undergo 
      subsequent surgery, on average the mHHS increased from 60 preoperatively to 82 at 
      the 10-year follow-up (p = 0.001), the HOS-ADL improved from 69 to 90 (p = 
      0.004), the HOS-sports improved from 43 to 76 (p = 0.001), and the median patient 
      satisfaction was 10 of 10. Eighty percent of the patients achieved the minimal 
      clinically important difference (MCID) in the HOS-ADL, and 87% obtained a patient 
      acceptable symptom state (PASS). CONCLUSIONS: Following arthroscopic labral 
      reconstruction with iliotibial band autograft, 9% of the hips underwent revision 
      arthroscopy and 27% underwent THA. At 10 years, the survival rate, with revision 
      hip arthroscopy or THA as the end point, was 61%; however, for those with >2 mm 
      of joint space, the current indication for labral reconstruction, the 10-year 
      survival rate was 90%. Excellent PROs and patient satisfaction were reported by 
      those who did not require revision or THA. With appropriate patient selection and 
      prevention of postoperative adhesions, labral reconstruction results in excellent 
      outcomes and high patient satisfaction that is sustained at a minimum 10-year 
      follow-up. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors 
      for a complete description of levels of evidence.
FAU - Philippon, Marc J
AU  - Philippon MJ
AUID- ORCID: 0000-0002-0358-3331
AD  - The Steadman Clinic (M.J.P. and J.W.A.), Steadman Philippon Research Institute 
      (M.J.P., J.W.A., and K.K.B.), Vail, Colorado.
FAU - Arner, Justin W
AU  - Arner JW
AUID- ORCID: 0000-0002-7007-4596
AD  - The Steadman Clinic (M.J.P. and J.W.A.), Steadman Philippon Research Institute 
      (M.J.P., J.W.A., and K.K.B.), Vail, Colorado.
FAU - Crawford, Matthew D
AU  - Crawford MD
AUID- ORCID: 0000-0001-6558-0120
AD  - Westlake Orthopaedics, Austin, Texas.
FAU - Bolia, Ioanna K
AU  - Bolia IK
AUID- ORCID: 0000-0002-9410-1421
AD  - Department of Orthopaedics, University of Southern California, Los Angeles, 
      California.
FAU - Briggs, Karen K
AU  - Briggs KK
AUID- ORCID: 0000-0001-7312-5662
AD  - The Steadman Clinic (M.J.P. and J.W.A.), Steadman Philippon Research Institute 
      (M.J.P., J.W.A., and K.K.B.), Vail, Colorado.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Bone Joint Surg Am
JT  - The Journal of bone and joint surgery. American volume
JID - 0014030
SB  - IM
MH  - Adult
MH  - *Arthroplasty, Replacement, Hip
MH  - Autografts
MH  - Cartilage, Articular/*surgery
MH  - Female
MH  - Fibrocartilage/*surgery
MH  - Follow-Up Studies
MH  - Hip Joint/*surgery
MH  - Humans
MH  - Ligaments/*transplantation
MH  - Male
MH  - Middle Aged
MH  - Patient Reported Outcome Measures
MH  - Prosthesis Failure
MH  - Retrospective Studies
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2020/07/18 06:00
MHDA- 2021/04/02 06:00
CRDT- 2020/07/18 06:00
PHST- 2020/07/18 06:00 [pubmed]
PHST- 2021/04/02 06:00 [medline]
PHST- 2020/07/18 06:00 [entrez]
AID - 00004623-202009160-00003 [pii]
AID - 10.2106/JBJS.19.01499 [doi]
PST - ppublish
SO  - J Bone Joint Surg Am. 2020 Sep 16;102(18):1581-1587. doi: 10.2106/JBJS.19.01499.