Functional outcome and athletic level after arthroscopic repair followed by triple pelvic osteotomy in patients with labral tears resulting from acetabular dysplasia; [Funktionelle Ergebnisse nach arthroskopischer Labrum-Rekonstruktion und Triple-Osteotomie des Beckens bei Patienten mit Labrumschaden infolge einer Hüftgelenkdysplasie]

被引：0

作者：

Jaber A. ^{[1
]}

Bangert Y. ^{[1
]}

Gather K. ^{[1
]}

Hagmann S. ^{[1
]}

Renkawitz T. ^{[1
]}

Barié A. ^{[2
]}

机构：

[1] Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstr. 200a, Heidelberg

[2] Center for Joint Surgery and Sport Injuries, Clinic St. Elisabeth Heidelberg, Max-Reger-Straße 5–7, Heidelberg

来源：

Die Orthopädie | 2023年 / 52卷 / 9期

关键词：

Acetabulum; Hip arthroscopy; Hip dysplasia; Labral tear; Pelvic osteotomy;

D O I：

10.1007/s00132-023-04399-x

中图分类号：

学科分类号：

摘要：

Background: Patients with acetabular dysplasia are at a higher risk of developing symptomatic labral tears. Isolated treatments that address these pathologies are well established. Combined treatment with hip reorientation osteotomy using Bernese periacetabular osteotomy in addition to arthroscopic labral repair show good results. Studies that report the outcome in patients who received both arthroscopic labral repair and a triple pelvic osteotomy (TPO) are lacking. The aim of this study is to investigate the short to midterm functional outcome and activity level in these patients. Methods: This case series retrospectively included 8 patients (2 male, 6 female) with acetabular dysplasia (lateral center-edge angle [LCEA] ≤ 25°) and a labral tear on magnetic resonance arthrography (MRA). All patients underwent arthroscopic labral repair followed by TPO after an average period of 3 months (range 2–6). Average age at the time of surgery was 25 years (range 15–37). Patients were followed up and the following main parameters were assessed: LCEA, modified Harris hip score (mHSS), Tegner score, UCLA score, patient satisfaction on a scale of 1–4. Results: The mean follow-up was 19 months (range 15–25). The mean LCEA increased from 18° to 37° (p < 0.0001). The mHSS improved from a mean of 79 to 94 on final follow-up (p = 0.00123). The Tegner and UCLA scores had a median of 4 and 5, respectively. The mean LCEA increased from 18° to 37° (p < 0.0001). The mean patient satisfaction was 3.6. Conclusion: Patients with evidence of a labral tear resulting from acetabular dysplasia benefit from arthroscopic repair followed by a TPO. The literature still lacks evidence that labral repair and reorientation osteotomy produce superior outcome compared to osteotomy alone. Treatment should consider clinical presentation in addition to radiological findings with emphasis on MRA. © 2023, The Author(s).

引用

页码：767 / 772

页数：5

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