PMID- 34213975
OWN - NLM
STAT- MEDLINE
DCOM- 20210809
LR  - 20210809
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 49
IP  - 10
DP  - 2021 Aug
TI  - Minimum 2-Year Functional Outcomes of Patients Undergoing Capsular Autograft Hip 
      Labral Reconstruction.
PG  - 2659-2667
LID - 10.1177/03635465211026666 [doi]
AB  - BACKGROUND: There is a paucity of literature on arthroscopic capsular autograft 
      labral reconstruction. PURPOSE: To report midterm functional outcomes for 
      patients undergoing acetabular labral repair with capsular autograft labral 
      reconstruction. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: This is 
      a retrospective case series of prospectively collected data on patients who 
      underwent arthroscopic acetabular labral repair by the senior surgeon between 
      March 2013 and August 2018. The inclusion criteria for this study were adult 
      patients aged 18 years or older who underwent primary hip arthroscopy for 
      arthroscopic capsular autograft labral reconstruction. Exclusion criteria were <2 
      years of postoperative follow-up, elective disenrollment from study before 2-year 
      follow-up, or repeat ipsilateral hip surgery before 2-year follow-up. 
      Intraoperatively, patients underwent capsular autograft hip labral reconstruction 
      if they were found to have a labrum with hypoplastic tissue (width <5 mm), 
      complex tearing, or frank degeneration of native tissue. Clinical outcome data 
      consisted of patient-reported outcome measures. RESULTS: A total of 97 hips (94 
      patients) met the inclusion criteria with a mean final follow-up of 28.2 months 
      (95% CI, 26.0-30.4). Patients had a mean age of 39.0 years (95% CI, 36.8-41.2) 
      with a mean body mass index of 25.8 (95% CI, 24.9-26.7). When compared with 
      baseline (40.4 [95% CI, 36.7-44.2]), the mean international Hip-Outcome Tool-33 
      (iHOT-33) scores were significantly greater at 3-month (60.9 [95% CI, 56.8-64.9]; 
      P < .001), 6-month (68.8 [95% CI, 64.7-72.9]; P < .001), 12-month (73.2 [95% CI, 
      68.9-77.5]; P < .001), and final (76.6 [95% CI, 72.4-80.8]; P < .001) follow-up. 
      At 2-year follow-up, 76.3%, 65.5%, and 60.8% of patients' iHOT-33 scores exceeded 
      clinically meaningful outcome thresholds for minimally clinically important 
      difference (MCID), patient-acceptable symptomatic state, and substantial clinical 
      benefit, respectively. CONCLUSIONS: In this study of 97 hips undergoing 
      arthroscopic labral repair with capsular autograft labral reconstruction, we 
      found favorable outcomes that exceeded the MCID thresholds in the majority of 
      patients at a mean 28.2 months' follow-up. Future studies should compare outcomes 
      between this technique and other methods of autograft and allograft 
      reconstruction to determine differences in patient-reported outcomes, donor-site 
      morbidity, and complications.
FAU - Kucharik, Michael P
AU  - Kucharik MP
AD  - Sports Medicine, Department of Orthopaedic Surgery, Massachusetts General 
      Hospital / Harvard Medical School, Boston, Massachusetts, USA.
FAU - Abraham, Paul F
AU  - Abraham PF
AD  - Sports Medicine, Department of Orthopaedic Surgery, Massachusetts General 
      Hospital / Harvard Medical School, Boston, Massachusetts, USA.
FAU - Nazal, Mark R
AU  - Nazal MR
AD  - Department of Orthopaedic Surgery, University of Kentucky, Lexington, Kentucky, 
      USA.
FAU - Varady, Nathan H
AU  - Varady NH
AD  - Sports Medicine, Department of Orthopaedic Surgery, Massachusetts General 
      Hospital / Harvard Medical School, Boston, Massachusetts, USA.
FAU - Meek, Wendy M
AU  - Meek WM
AD  - Sports Medicine, Department of Orthopaedic Surgery, Massachusetts General 
      Hospital / Harvard Medical School, Boston, Massachusetts, USA.
FAU - Martin, Scott D
AU  - Martin SD
AD  - Sports Medicine, Department of Orthopaedic Surgery, Massachusetts General 
      Hospital / Harvard Medical School, Boston, Massachusetts, USA.
LA  - eng
PT  - Journal Article
DEP - 20210702
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - Adult
MH  - Arthroscopy
MH  - Autografts
MH  - *Femoracetabular Impingement
MH  - Follow-Up Studies
MH  - *Hip Joint
MH  - Humans
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - acetabular labral repair
OT  - acetabular labrum reconstruction
OT  - capsular autograft labral reconstruction
OT  - hip arthroscopy
EDAT- 2021/07/03 06:00
MHDA- 2021/08/10 06:00
CRDT- 2021/07/02 17:12
PHST- 2021/07/03 06:00 [pubmed]
PHST- 2021/08/10 06:00 [medline]
PHST- 2021/07/02 17:12 [entrez]
AID - 10.1177/03635465211026666 [doi]
PST - ppublish
SO  - Am J Sports Med. 2021 Aug;49(10):2659-2667. doi: 10.1177/03635465211026666. Epub 
      2021 Jul 2.