PMID- 35486521
OWN - NLM
STAT- MEDLINE
DCOM- 20220603
LR  - 20220628
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 50
IP  - 7
DP  - 2022 Jun
TI  - Minimum 5-Year Outcomes After Primary Segmental Labral Reconstruction for 
      Irreparable Labral Tears in the Hip With Hamstring Grafts: With a Subanalysis 
      Comparing Autograft Versus Allograft.
PG  - 1876-1887
LID - 10.1177/03635465221091192 [doi]
AB  - BACKGROUND: Comparable short-term outcomes have been obtained using hamstring 
      allografts versus autografts after primary segmental labral reconstruction (SLR). 
      Midterm results have not yet been determined. PURPOSE: (1) To evaluate minimum 
      5-year patient-reported outcome (PRO) scores in patients who underwent primary 
      SLR with hamstring grafts in the setting of femoroacetabular impingement syndrome 
      (FAIS) and irreparable labral tears and (2) to compare the outcomes of hamstring 
      autografts versus allografts in a subanalysis using propensity-matched groups. 
      STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Prospectively 
      collected data were retrospectively reviewed for patients who underwent primary 
      hip arthroscopy between September 2010 and November 2015. Patients were included 
      if they underwent SLR using hamstring autografts or allografts and had 
      preoperative and minimum 5-year PROs. The exclusion criteria were previous 
      ipsilateral hip surgery or conditions, dysplasia, or Tonnis grade >1. Patients 
      with autograft SLR were propensity matched 1 to 1 based on age, sex, and body 
      mass index (BMI) to patients who underwent SLR using hamstring allografts. The 
      minimal clinically important difference (MCID) and the Patient Acceptable Symptom 
      State (PASS) were calculated. RESULTS: Overall, 48 patients (N = hips 48) were 
      eligible to be included in this study, and 41 patients (n = 41 hips [85.4%]) had 
      a minimum 5-year follow-up reporting significant improvements in all PROs. Within 
      the entire cohort, 9.8% required a secondary arthroscopy, with a mean time of 19 
      +/- 1.8 months, and survivorship was 82.9%. Of the 41 included patients, 15 
      underwent an SLR with a hamstring autograft and were matched to 15 patients with 
      labral reconstruction using a hamstring allograft. Groups were similar for sex (P 
      > .999), age (P = .775), and BMI (P = .486). The mean follow-up times were 80.8 +/- 
      25.5 and 66.1 +/- 8.3 months (P = .223) for the autograft and allograft groups, 
      respectively. Baseline PROs, preoperative radiographic measurements, surgical 
      findings, and intraoperative procedures were similar. The groups achieved 
      significant and comparable improvements for all PROs (P < .0001), satisfaction (P 
      = .187), and the rate of achieving the MCID and the PASS. However, a tendency for 
      higher postoperative PROs favoring allograft reconstruction was found. 
      CONCLUSION: At a minimum 5-year follow-up, patients who underwent primary 
      arthroscopic SLR in the context of FAIS and irreparable labra, with either 
      autograft or allograft hamstring tendons, reported significant improvements and 
      comparable postoperative scores for all PROs, patient satisfaction, MCID, and 
      PASS.
FAU - Maldonado, David R
AU  - Maldonado DR
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Kyin, Cynthia
AU  - Kyin C
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
AD  - University of Central Florida College of Medicine, Orlando, Florida, USA.
FAU - Simpson, Jeffrey R
AU  - Simpson JR
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
AD  - University of Central Florida College of Medicine, Orlando, Florida, USA.
FAU - Annin, Shawn
AU  - Annin S
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Jimenez, Andrew E
AU  - Jimenez AE
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Saks, Benjamin R
AU  - Saks BR
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Lall, Ajay C
AU  - Lall AC
AUID- ORCID: 0000-0002-5736-0395
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
AD  - American Hip Institute, Chicago, Illinois, USA.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
AD  - American Hip Institute, Chicago, Illinois, USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20220429
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - Allografts
MH  - Arthroscopy/methods
MH  - Autografts
MH  - Cohort Studies
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - *Hip Joint/surgery
MH  - Humans
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - allograft
OT  - autograft
OT  - hamstring
OT  - hip arthroscopy
OT  - labral reconstruction
OT  - outcomes
EDAT- 2022/04/30 06:00
MHDA- 2022/06/07 06:00
CRDT- 2022/04/29 12:53
PHST- 2022/04/30 06:00 [pubmed]
PHST- 2022/06/07 06:00 [medline]
PHST- 2022/04/29 12:53 [entrez]
AID - 10.1177/03635465221091192 [doi]
PST - ppublish
SO  - Am J Sports Med. 2022 Jun;50(7):1876-1887. doi: 10.1177/03635465221091192. Epub 
      2022 Apr 29.