Clin Orthop Surg.  2014 Jun;6(2):159-164. 10.4055/cios.2014.6.2.159.

Patient Satisfaction after Arthroscopic Repair of Acetabular Labral Tears

• Ha YC
• Kim KC
• Shin YE

• KMID: 1784661
• DOI: http://doi.org/10.4055/cios.2014.6.2.159

Abstract

BACKGROUND
Acetabular labral tear is a main cause of hip pain and disability, often requiring surgical treatment. Improvements of hip arthroscopic technique have produced positive outcomes after labral repair with arthroscopy. The purpose of this study was to determine clinical outcomes and patient satisfaction after arthroscopic repair of acetabular labral tear.
METHODS
We interviewed 21 patients (10 men and 11 women; mean age, 36 years [range, 22 to 57 years]) with acetabular labral tears that had been repaired arthroscopically in terms of satisfaction of the procedure. In addition, clinical outcome was assessed using visual analog scale (VAS) score, University of California, Los Angeles (UCLA) activity, Western Ontario and McMaster Universities (WOMAC) osteoarthritis index, and Harris hip score, and radiologic outcome was assessed using serial radiography. The patients were followed for 24-50 months.
RESULTS
The mean Harris hip score was 73 points (range, 64 to 84 points) preoperatively and 83 points (range, 66 to 95 points) postoperatively. Fifteen hips (71%) were rated excellent and good. The mean WOMAC osteoarthritis index and VAS scores were improved at final follow-up. UCLA activity at the latest follow-up improved in 16 patients. The Tonnis grade of osteoarthritis at the latest follow-up did not change in all patients. Eighteen of the patients (86%) were satisfied with the procedure.
CONCLUSIONS
High rate of satisfaction after arthroscopic repair of acetabular labral tears is an encouraging outcome. Arthroscopic treatment of labral tears might be a useful technique in patients with hip pathologies, such as femoroacetabular impingement with labral tears.

Keyword

Acetabular labral tear; Arthroscopy; Labral repair

MeSH Terms

Acetabulum/*surgery
Adult
Arthroscopy
Asian Continental Ancestry Group
Female
Fibrocartilage/injuries/surgery
Hip Injuries/*surgery
Hip Joint/*surgery
Humans
Male
Middle Aged
*Patient Satisfaction
Young Adult

Figure

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  Fig. 1 A case of a 24-year-old man with hip pain mechanical symptoms. (A) Computed tomography arthrography shows an anterosuperior labral tear (1 o'clock to 2 o'clock position). (B) Arthroscopic finding shows a peripheral longitudinal labral tear. (C) Arthroscopic view shows labral repair with two suture anchors.

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