PMID- 35369718
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 2633-1462 (Electronic)
IS  - 2633-1462 (Linking)
VI  - 3
IP  - 4
DP  - 2022 Apr
TI  - Comparison of early outcomes of arthroscopic labral repair or debridement : a 
      study using the UK Non-Arthroplasty Hip Registry dataset.
PG  - 291-301
LID - 10.1302/2633-1462.34.BJO-2022-0003.R1 [doi]
AB  - 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.
FAU - Holleyman, Richard James
AU  - Holleyman RJ
AUID- ORCID: 0000-0001-9748-7932
AD  - Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, 
      UK.
FAU - Lyman, Stephen
AU  - Lyman S
AUID- ORCID: 0000-0003-4549-3817
AD  - Hospital for Special Surgery, New York, New York, USA.
AD  - Kyushu University School of Medicine, Fukuoka, Japan.
FAU - Bankes, Marcus J K
AU  - Bankes MJK
AUID- ORCID: 0000-0001-6713-2137
AD  - Guy's and St Thomas' NHS Foundation Trust, London, UK.
AD  - Fortius Clinic, London, UK.
FAU - Board, Tim Nicholas
AU  - Board TN
AUID- ORCID: 0000-0002-3295-2087
AD  - Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK.
FAU - Conroy, Jonathan Lee
AU  - Conroy JL
AD  - Harrogate and District NHS Foundation Trust, Harrogate, UK.
FAU - McBryde, Callum Wilson
AU  - McBryde CW
AD  - The Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK.
FAU - Andrade, Antonio Jose
AU  - Andrade AJ
AUID- ORCID: 0000-0002-9574-2247
AD  - Royal Berkshire NHS Foundation Trust, Reading, UK.
FAU - Malviya, Ajay
AU  - Malviya A
AUID- ORCID: 0000-0001-8053-1853
AD  - Northumbria Healthcare NHS Foundation Trust, Newcastle upon Tyne, UK.
AD  - Newcastle University, Newcastle upon Tyne, United Kingdom.
FAU - Khanduja, Vikas
AU  - Khanduja V
AUID- ORCID: 0000-0001-9454-3978
AD  - Addenbrooke's Hospital - The Cambridge University Hospitals NHS Foundation Trust, 
      Cambridge, UK.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Bone Jt Open
JT  - Bone & joint open
JID - 101770336
PMC - PMC9044091
OTO - NOTNLM
OT  - Arthroscopy
OT  - Debridement
OT  - EQ-5D
OT  - Femoroacetabular Impingement
OT  - Hip
OT  - Labral debridement
OT  - Labral repair
OT  - Labrum
OT  - Outcomes
OT  - arthroscopic labral repair
OT  - clinical outcomes
OT  - functional outcome scores
OT  - hip arthroscopies
OT  - hips
OT  - labral debridements
OT  - labral repair techniques
OT  - propensity score matching
EDAT- 2022/04/05 06:00
MHDA- 2022/04/05 06:01
PMCR- 2022/04/04
CRDT- 2022/04/04 05:23
PHST- 2022/04/04 05:23 [entrez]
PHST- 2022/04/05 06:00 [pubmed]
PHST- 2022/04/05 06:01 [medline]
PHST- 2022/04/04 00:00 [pmc-release]
AID - BJO-3-291 [pii]
AID - 10.1302/2633-1462.34.BJO-2022-0003.R1 [doi]
PST - ppublish
SO  - Bone Jt Open. 2022 Apr;3(4):291-301. doi: 10.1302/2633-1462.34.BJO-2022-0003.R1.