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Radiographic and Demographic Factors Can Predict the Need for Primary Labral Reconstruction in Hip Arthroscopic Surgery: A Predictive Model Using 1398 Hips.
Maldonado, David R; Chen, Jeffrey W; Walker-Santiago, Rafael; Rosinsky, Philip J; Shapira, Jacob; Lall, Ajay C; Kyin, Cynthia; Domb, Benjamin G.
Afiliación
  • Maldonado DR; American Hip Institute, Des Plaines, Illinois, USA.
  • Chen JW; American Hip Institute, Des Plaines, Illinois, USA.
  • Walker-Santiago R; American Hip Institute, Des Plaines, Illinois, USA.
  • Rosinsky PJ; American Hip Institute, Des Plaines, Illinois, USA.
  • Shapira J; American Hip Institute, Des Plaines, Illinois, USA.
  • Lall AC; American Hip Institute, Des Plaines, Illinois, USA.
  • Kyin C; American Hip Institute, Des Plaines, Illinois, USA.
  • Domb BG; American Hip Institute, Des Plaines, Illinois, USA.
Am J Sports Med ; 48(1): 173-180, 2020 01.
Article en En | MEDLINE | ID: mdl-31877107
ABSTRACT

BACKGROUND:

Labral tears are the most common findings in patients with symptomatic femoroacetabular impingement (FAI). The restoration of labral function is critical, and labral reconstruction has been proposed as an alternative for irreparable tears.

PURPOSE:

To compare preoperative radiographic measurements and demographics of patients who underwent primary arthroscopic labral reconstruction versus primary labral repair and to identify factors that are predictive of the need for reconstruction. STUDY

DESIGN:

Case-control study; Level of evidence, 3.

METHODS:

Patients who underwent their index hip arthroscopic procedure between October 2010 and November 2018 and underwent either labral reconstruction or repair were included in the study. A total of 18 variables (14 radiographic and 4 demographic) were assessed in a bivariate comparison and analyzed in a multivariate logistic model.

RESULTS:

A total of 251 primary reconstruction and 1147 primary repair procedures were included. The logistic model selected age, body mass index (BMI), Tönnis grade, lateral center-edge angle (LCEA), and alpha angle. The odds of reconstruction were 2.52 times higher in patients with Tönnis grade 1 than 0 (odds ratio [OR], 2.52 [95% CI, 1.82-3.49]). Each additional degree in the LCEA was associated with a 6% increase in the odds of reconstruction (OR, 1.06 [95% CI, 1.04-1.09]) and 4% for each additional degree in the alpha angle (OR, 1.04 [95% CI, 1.03-1.05]). Higher age (per log 10 unit) and BMI also increased the likelihood of reconstruction (OR, 11.29 [95% CI, 4.23-30.10] and OR, 1.03 [95% CI, 1.00-1.06], respectively).

CONCLUSION:

In a multivariate analysis, factors identified as preoperative predictors for primary arthroscopic labral reconstruction in the setting of FAI and labral tears were Tönnis grade, LCEA, age, and BMI. These predictive factors may be useful for the clinician in determining the preoperative likelihood of primary labral reconstruction.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Artroscopía / Pinzamiento Femoroacetabular / Articulación de la Cadera Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Sports Med Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Artroscopía / Pinzamiento Femoroacetabular / Articulación de la Cadera Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Sports Med Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos