Primary Circumferential Acetabular Labral Reconstruction: Achieving Outcomes Similar to Primary Labral Repair Despite More Challenging Patient Characteristics

The American Journal of Sports Medicine
John P ScanaliatoAndrew B Wolff

Abstract

Treatment of acetabular labral tears with moderate or severe intrasubstance damage or segmental defects remains a substantial challenge. Circumferential labral reconstruction with iliotibial band allograft is a relatively new technique that has been proposed to restore stability and eliminate high-stress junction points. To compare outcomes between hips treated with primary allograft circumferential labral reconstruction and primary labral repair. Cohort study; Level of evidence, 3. All consecutive hips between 2014 and 2015 that underwent primary reconstruction or primary repair by the senior surgeon were included and compared. Hips that had a prior intra-articular procedure were excluded. Patient-reported outcome (PRO) scores and visual analog scales were completed by patients within 1 week before surgery and between 22 and 26 months postoperatively. PROs included the modified Harris Hip Score, the International Hip Outcome Tool, and the 12-Item Short Form Health Survey for physical health. Pain and satisfaction were assessed with visual analog scales. Crude and inverse probability of treatment weighting comparisons of PROs between groups were performed. A total of 162 hips met the inclusion criteria for this study, including...Continue Reading

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Nov 21, 2021·Current Reviews in Musculoskeletal Medicine·J P ScanaliatoA B Wolff

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Methods Mentioned

BETA
total hip arthroplasty

Software Mentioned

IPTW
SAS

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