PMID- 34339329 OWN - NLM STAT- MEDLINE DCOM- 20210903 LR - 20210903 IS - 1552-3365 (Electronic) IS - 0363-5465 (Linking) VI - 49 IP - 11 DP - 2021 Sep TI - Multicenter Outcomes After Revision Hip Arthroscopy: Comparative Analysis of 2-Year Outcomes After Labral Repair Versus Labral Reconstruction. PG - 2968-2976 LID - 10.1177/03635465211030511 [doi] AB - BACKGROUND: There is a paucity of literature evaluating patient outcomes in patients undergoing revision labral repair and labral reconstruction. PURPOSE: To compare outcomes in patients undergoing revision hip arthroscopy for treatment of labral tears by labral repair or labral reconstruction. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: A retrospective review of a prospectively maintained multicenter database of patients undergoing hip arthroscopy was performed. An a priori power analysis determined that a total of 62 patients were required. Patients undergoing revision hip arthroscopy for labral tears with completed 2-year outcome scores were included. Patients undergoing primary hip arthroscopy, labral debridement, concomitant gluteal repair, and patients with hip dysplasia (lateral center-edge angle <20 degrees ) were excluded. Patients were grouped into revision labral repair and labral reconstruction groups. Patient demographics and patient-reported outcomes (PROs) including Hip Outcome Score - Activities of Daily Living, Hip Outcome Score - Sport Subscale, modified Harris Hip Score, international Hip Outcome Tool-12, visual analog scale for pain and satisfaction, and achievement of minimal clinically important difference (MCID) and Patient Acceptable Symptom State (PASS) were analyzed. RESULTS: A total of 40 patients underwent revision labral repair and 55 patients underwent labral reconstruction. Patients undergoing revision labral repair were younger (mean age, 30.0 +/- 10.7 years vs 34.4 +/- 9.7 years; P = .048), had lower rates of labral degeneration (25.0% vs 62.7%; P = .004), and had lower rates of severe complexity of tears (21.1% vs 66.0%; P = .003). However, the labral repair group had higher rates of articular cartilage damage (62.5% vs 33.3%; P = .009). There were no differences in any preoperative or 2-year postoperative PROs. Furthermore, no differences were seen in achievement of MCID or PASS in any PRO. CONCLUSION: In this multicenter study on revision hip arthroscopy, patients undergoing revision labral repair were younger and had better labral characteristics but greater cartilage damage compared with patients undergoing labral reconstructions. Despite these differences, patients who underwent labral repair reported similar outcomes to those undergoing labral reconstruction. FAU - Bodendorfer, Blake M AU - Bodendorfer BM AUID- ORCID: 0000-0002-1313-6025 AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Hip Preservation Center, Rush University Medical Center, Chicago, Illinois, USA. FAU - Alter, Thomas D AU - Alter TD AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Hip Preservation Center, Rush University Medical Center, Chicago, Illinois, USA. FAU - Wolff, Andrew B AU - Wolff AB AD - Hip Preservation and Sports Medicine, Washington Orthopaedics and Sports Medicine, Washington, DC, USA. FAU - Carreira, Dominic S AU - Carreira DS AD - Peachtree Orthopedics, Atlanta, Georgia, USA. FAU - Cristoforetti, John J AU - Cristoforetti JJ AD - Center for Athletic Hip Injury, Allegheny Health Network, Pittsburgh, Pennsylvania, USA. AD - Department of Orthopaedic Surgery, Drexel University College of Medicine, Pittsburgh, Pennsylvania, USA. AD - American Hip Institute, Chicago, Illinois, USA. FAU - Salvo, John P AU - Salvo JP AD - Department of Orthopaedic Surgery, Sidney Kimmel Medical College at Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. AD - Hip Arthroscopy Program, Rothman Institute, Philadelphia, Pennsylvania, USA. FAU - Matsuda, Dean K AU - Matsuda DK AD - DISC Sports and Spine Center, Marina del Rey, California, USA. FAU - Kivlan, Benjamin R AU - Kivlan BR AD - Rangos School of Health Sciences, Department of Physical Therapy, Duquesne University, Pittsburgh, Pennsylvania, USA. FAU - Nho, Shane J AU - Nho SJ AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Hip Preservation Center, Rush University Medical Center, Chicago, Illinois, USA. LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20210802 PL - United States TA - Am J Sports Med JT - The American journal of sports medicine JID - 7609541 SB - IM MH - Activities of Daily Living MH - Adult MH - *Arthroscopy MH - Cohort Studies MH - *Femoracetabular Impingement/surgery MH - Follow-Up Studies MH - Hip Joint MH - Humans MH - Patient Reported Outcome Measures MH - Retrospective Studies MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - femoroacetabular impingement syndrome OT - hip arthroscopy OT - labral reconstruction OT - labral repair OT - labrum OT - revision EDAT- 2021/08/03 06:00 MHDA- 2021/09/04 06:00 CRDT- 2021/08/02 17:13 PHST- 2021/08/03 06:00 [pubmed] PHST- 2021/09/04 06:00 [medline] PHST- 2021/08/02 17:13 [entrez] AID - 10.1177/03635465211030511 [doi] PST - ppublish SO - Am J Sports Med. 2021 Sep;49(11):2968-2976. doi: 10.1177/03635465211030511. Epub 2021 Aug 2.