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Results of arthroscopic repair comparable to debridement for labral tears
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A recently presented study shows equivalent short-term results between patients with femoroacetabular impingement who had labral tears treated with either arthroscopic repair or debridement and indicated age as a predictor of outcomes.
“In this comparison of the two groups, preoperatively they were the same and postoperatively they were the same as well,” Misty Suri, MD, said during his presentation.
He added, “Our initial results at 13 months showed that age was the only predictor of a good outcome.”
Suri and colleagues conducted a 2-year study of 83 patients with femoroacetabular impingement who underwent either arthroscopic repair or debridement for labral tears. Mean age in the repair group was 39 years and 45 years in the debridement group. The debridement group also had more patients with advanced arthritis.
The investigators measured outcomes using the modified Harris hip score, SF-12 and Visual Analog Scale (VAS). They also performed an analysis with Generalized Estimating Equations regression methods. The mean follow-up for the study was 13 months.
The repair group had better SF-12 scores than the debridement group at 6 weeks and 6 months, Suri noted, but not at final follow-up. Both groups showed significant improvements in all outcomes at most recent follow-up, and there were no differences between the groups. The researchers found good to excellent results in 83.3% of the debridement group and 89.1% of the arthroscopic repair group.
Reference:
- Suri M, Choate S, Pawlak S, Jones D. Arthroscopic repair versus debridement of labral tears in patients with femoroacetabular impingement: A prospective study. Paper #36. Presented at the Arthroscopy Association of North American 2012 Annual Meeting. May 16-19. Orlando.
- Disclosure: Suri is a consultant for Arthrex.
