Nashville Sports Medicine Foundation, Nashville, Tennessee, U.S.A.
Nashville Sports Medicine Foundation, Nashville, Tennessee, U.S.A.
Arthroscopy. 2014 May;30(5):588-92. doi: 10.1016/j.arthro.2014.02.007.
The purpose of this study was to assess the results and outcomes of primary repair of the torn acetabular labrum.
All patients undergoing hip arthroscopy are prospectively assessed solely with the modified Harris Hip Score, which is an outcomes tool. Over a 4-year period, 37 patients (38 hips) underwent primary repair of a torn acetabular labrum and had reached 2 years' follow-up. No cases were excluded. For perspective on the frequency of this procedure, the ratio of labral refixations after pincer femoroacetabular impingement correction to primary repairs was evaluated.
The mean age was 26 years (range, 11 to 44 years). There were 26 female and 11 male patients, with 20 right and 18 left hips. The mean improvement in the modified Harris Hip Score was 18.9 points (70.5 points preoperatively and 89.4 points postoperatively), with 35 hips (92%) showing improvement, including good and excellent results in 35 hips (92%). Associated pathology included articular damage (21 hips), ligamentum teres (14 hips), cam femoroacetabular impingement (11 hips), borderline dysplasia (center-edge angle, 20° to 25°) (3 hips), dysplasia (center-edge angle <20°) (2 hips), and iliopsoas (2 hips). Four patients underwent repeat arthroscopy at a mean of 10 months (range, 5 to 15 months) postoperatively. The labral repair site was fully healed in each of these cases. There were no complications. During the study period, a total of 1,574 arthroscopic hip procedures were performed, including 439 labral refixations, representing an 11.6:1 ratio of refixation to repair.
This study showed good clinical results of primary repair with favorable outcomes and evidence of good healing, even among the 11% of patients who required repeat arthroscopy.
Level IV, therapeutic case series.
本研究旨在评估撕裂髋臼唇的初次修复的结果和结局。
所有接受髋关节镜检查的患者均仅接受改良 Harris 髋关节评分（一种评估结果的工具）进行前瞻性评估。在 4 年期间，有 37 名患者（38 髋）接受了撕裂髋臼唇的初次修复，并达到了 2 年的随访。无病例被排除。为了了解该手术的频率，评估了在 pincer 型股骨髋臼撞击症矫正后进行盂唇修复与初次修复的比例。
平均年龄为 26 岁（范围：11 岁至 44 岁）；26 名女性和 11 名男性患者，20 髋为右侧，18 髋为左侧；改良 Harris 髋关节评分平均提高了 18.9 分（术前 70.5 分，术后 89.4 分），35 髋（92%）得到改善，包括 35 髋（92%）的良好和优秀结果。相关病变包括关节损伤（21 髋）、圆韧带（14 髋）、凸轮型股骨髋臼撞击症（11 髋）、边界性发育不良（中心边缘角 20°至 25°）（3 髋）、发育不良（中心边缘角<20°）（2 髋）和髂腰肌（2 髋）。4 例患者在术后平均 10 个月（5 个月至 15 个月）时再次接受关节镜检查。这些病例中，盂唇修复部位均完全愈合。无并发症发生。在研究期间，共进行了 1574 例髋关节镜手术，包括 439 例盂唇修复，修复与修复的比例为 11.6:1。
本研究显示初次修复的临床效果良好，结局良好，有证据表明愈合良好，即使在需要再次关节镜检查的 11%的患者中也是如此。
IV 级，治疗性病例系列。
