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Effect of centre-edge angle on clinical and quality of life outcomes after arthroscopic acetabular labral debridement

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Abstract

Purpose

The aim of this study was to compare clinical and quality of life outcomes following arthroscopic acetabular labral debridement between patients with different centre-edge (CE) angle.

Methods

A total of 79 patients who underwent hip labral debridement were enrolled in this study. Radiographic measurements of CE angle were collected, and patients were assigned into a normal group (25° < CE angle <40°, n = 68) and dysplasia group (CE angle <20°, n = 11). Clinical outcomes were evaluated by modified Harris Hip Score (mHHS), Hip Outcome Score (HOS) for activities of daily living (ADL) and sports and Short Form 12 (SF-12).

Results

At the final follow-up, the normal group showed significant improvements in mHHS, HOS (ADL and sports) and SF-12 (P < 0.05). However, the dysplasia group revealed significant improvements in mHHS, HOS (ADL) and SF-12 physical component summary (PCS) (P < 0.05) and no significant changes in HOS sports and SF-12 mental component summary (MCS) (P > 0.05). Additionally, there was a greater improvement in clinical scores post-operatively in the normal group compared with the dysplasia group (P < 0.05).

Conclusions

Arthroscopic acetabular labral debridement resulted in significantly greater clinical and quality of life outcomes in patients with CE angle >25° compared with patients with CE angle < 20°.

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References

  1. Ben Tov T, Amar E, Shapira A, Steinberg E, Atoun E, Rath E (2014) Clinical and functional outcome after acetabular labral repair in patients aged older than 50 years. Arthroscopy 30(3):305–310

    Article  PubMed  Google Scholar 

  2. Groh MM, Herrera J (2009) A comprehensive review of hip labral tears. Curr Rev Musculoskelet Med 2(2):105–117

    Article  PubMed  PubMed Central  Google Scholar 

  3. Dezateux C, Rosendahl K (2007) Developmental dysplasia of the hip. Lancet 369:1541–1552

    Article  PubMed  Google Scholar 

  4. Harris-Hayes M, Royer NK (2011) Relationship of acetabular dysplasia and femoroacetabular impingement to hip osteoarthritis: a focused review. PM R 3:1055–1067

    Article  PubMed  PubMed Central  Google Scholar 

  5. Lee HH, Klika AK, Bershadsky B, Krebs VE, Barsoum WK (2010) Factors affecting recovery after arthroscopic labral debridement of the hip. Arthroscopy 26(3):328–334

    Article  PubMed  Google Scholar 

  6. Haviv B, O’Donnell J (2011) Arthroscopic treatment for acetabular labral tears of the hip without bony dysmorphism. Am J Sports Med 39(Suppl 1):79S–84S

    Article  PubMed  Google Scholar 

  7. Mancini D, Fontana A (2014) Five-year results of arthroscopic techniques for the treatment of acetabular chondral lesions in femoroacetabular impingement. Int Orthop 38:2057–2064

    Article  PubMed  Google Scholar 

  8. Beutel BG, Collins JA, Garofolo G, Youm T (2015) Hip arthroscopy outcomes, complications, and traction safety in patients with prior lower-extremity arthroplasty. Int Orthop 39:13–18

    Article  PubMed  Google Scholar 

  9. Griffiths EJ, Khanduja V (2012) Hip arthroscopy: evolution, current practice and future developments. Int Orthop 36:1115–1121

    Article  PubMed  PubMed Central  Google Scholar 

  10. Beaulé PE, O’Neill M, Rakhra K (2009) Acetabular labral tears. J Bone Joint Surg Am 91:701–710

    Article  PubMed  Google Scholar 

  11. Tönnis D, Heinecke A (1999) Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J Bone Joint Surg Am 81:1747–1770

    PubMed  Google Scholar 

  12. Tönnis D (1976) Normal values of the hip joint for the evaluation of x-rays in children and adults. Clin Orthop Relat Res 119:39–47

    PubMed  Google Scholar 

  13. Wiberg G (1939) Studies on dysplastic acetabula and congenital subluxation of the hip joint with special reference to the complication of osteoarthritis. Acta Chir Scand 83(Suppl 58):28–38

    Google Scholar 

  14. Nötzli HP, Wyss TF, Stoecklin CH, Schmid MR, Treiber K, Hodler J (2002) The contour of the femoral head-neck junction as a predictor for the risk of anterior impingement. J Bone Joint Surg Br 84:556–560

    Article  PubMed  Google Scholar 

  15. Domb B, Hanypsiak B, Botser I (2012) Labral penetration rate in a consecutive series of 300 hip arthroscopies. Am J Sports Med 40(4):864–869

    Article  PubMed  Google Scholar 

  16. Philippon MJ, Schroder e Souza BG, Briggs KK (2010) Labrum: resection, repair and reconstruction. Sports Med Arthrosc 18:76–82

    Article  PubMed  Google Scholar 

  17. Krych AJ, Thompson M, Knutson Z, Scoon J, Coleman SH (2013) Arthroscopic labral repair versus selective labral debridement in female patients with femoroacetabular impingement: a prospective randomized study. Arthroscopy 29(1):46–53

    Article  PubMed  Google Scholar 

  18. Weiland DE, Philippon MJ (2005) Arthroscopic technique of femoroacetabular impingement. Oper Tech Orthop 15:256–260

    Article  Google Scholar 

  19. Harris WH, Bourne RB, Oh I (1979) Intra-articular acetabular labrum: a possible etiological factor in certain cases of osteoarthritis of the hip. J Bone Joint Surg Am 61:510–514

    CAS  PubMed  Google Scholar 

  20. Liang MH, Katz JN, Phillips C, Sledge C, Cats-Baril W (1991) The total hip arthroplasty outcome evaluation form of the American Academy of Orthopaedic Surgeons. Results of a nominal group process. The American Academy of Orthopaedic Surgeons Task Force on Outcome Studies. J Bone Joint Surg Am 73:639–646

    CAS  PubMed  Google Scholar 

  21. Parvizi J, Bican O, Bender B, Mortazavi SM, Purtill JJ, Erickson J, Peters C (2009) Arthroscopy for labral tears in patients with developmental dysplasia of the hip: a cautionary note. J Arthroplasty 24:110–113

    Article  PubMed  Google Scholar 

  22. Yamamoto Y, Ide T, Nakamura M, Hamada Y, Usui I (2005) Arthroscopic partial limbectomy in hip joints with acetabular hypoplasia. Arthroscopy 21:586–591

    Article  PubMed  Google Scholar 

  23. Byrd JWT, Jones KS (2000) Prospective analysis of hip arthroscopy with 2-year follow-up. Arthroscopy 16:578–587

    Article  CAS  PubMed  Google Scholar 

  24. Byrd JWT, Jones KS (2003) Hip arthroscopy in the presence of dysplasia. Arthroscopy 19(10):1055–1060

    Article  PubMed  Google Scholar 

  25. Matheney T, Kim YJ, Zurakowski D, Matero C, Millis M (2009) Intermediate to long-term results following the Bernese periacetabular osteotomy and predictors of clinical outcome. J Bone Joint Surg Am 91:2113–2123

    Article  PubMed  Google Scholar 

  26. Fujii M, Nakashima Y, Jingushi S, Yamamoto T, Noguchi Y, Suenaga E, Iwamoto Y (2009) Intraarticular findings in symptomatic developmental dysplasia of the hip. J Pediatr Orthop 29(1):9–13

    Article  PubMed  Google Scholar 

  27. Ross JR, Zaltz I, Nepple JJ, Schoenecker PL, Clohisy JC (2011) Arthroscopic disease classification and interventions as an adjunct in the treatment of acetabular dysplasia. Am J Sports Med 39(Suppl):72S–78S

    Article  PubMed  Google Scholar 

  28. Henak CR, Abraham CL, Anderson AE, Maas SA, Ellis BJ, Peters CL, Weiss JA (2014) Patient-specific analysis of cartilage and labrum mechanics in human hips with acetabular dysplasia. Osteoarthritis Cartilage 22(2):210–217

    Article  CAS  PubMed  Google Scholar 

  29. Henak CR, Ellis BJ, Harris MD, Anderson AE, Peters CL, Weiss JA (2011) Role of the acetabular labrum in load support across the hip joint. J Biomech 44(12):2201–2206

    Article  PubMed  PubMed Central  Google Scholar 

  30. Chegini S, Beck M, Ferguson SJ (2009) The effects of impingement and dysplasia on stress distributions in the hip joint during sitting and walking: a finite element analysis. J Orthop Res 27:195–201

    Article  PubMed  Google Scholar 

  31. Crawford MJ, Dy CJ, Alexander JW, Thompson M, Schroder SJ, Vega CE, Patel RV, Miller AR, McCarthy JC, Lowe WR, Noble PC (2007) The biomechanics of the hip labrum and the stability of the hip. Clin Orthop Relat Res 465:16–22

    PubMed  Google Scholar 

  32. Akiyama K, Sakai T, Koyanagi J, Yoshikawa H, Sugamoto K (2011) Evaluation of translation in the normal and dysplastic hip using three-dimensional magnetic resonance imaging and voxel-based registration. Osteoarthritis Cartilage 19:700–710

    Article  CAS  PubMed  Google Scholar 

  33. Carreira DS, Mazzocca AD, Oryhon J, Brown FM, Hayden JK, Romeo AA (2006) A prospective outcome evaluation of arthroscopic Bankart repairs: minimum 2-year follow-up. Am J Sports Med 34(5):771–777

    Article  PubMed  Google Scholar 

  34. Boykin RE, Patterson D, Briggs KK, Dee A, Philippon MJ (2013) Results of arthroscopic labral reconstruction of the hip in elite athletes. Am J Sports Med 41(10):2296–2301

    Article  PubMed  Google Scholar 

  35. Kutty S, Schneider P, Faris P, Kiefer G, Frizzell B, Park R, Powell JN (2012) Reliability and predictability of the centre-edge angle in the assessment of pincer femoroacetabular impingement. Int Orthop 36:505–510

    Article  PubMed  Google Scholar 

  36. Okano K, Yamaguchi K, Ninomiya Y, Matsubayashi S, Osaki M, Takahashi K (2013) Femoral head deformity and severity of acetabular dysplasia of the hip. Bone Joint J 95-B(9):1192–1196

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China

    Ziying Wu, Shiyi Chen, Yunxia Li, Hong Li & Jiwu Chen

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  1. Ziying Wu
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  2. Shiyi Chen
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  3. Yunxia Li
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  4. Hong Li
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  5. Jiwu Chen
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Correspondence to Jiwu Chen.

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Wu, Z., Chen, S., Li, Y. et al. Effect of centre-edge angle on clinical and quality of life outcomes after arthroscopic acetabular labral debridement. International Orthopaedics (SICOT) 40, 1427–1432 (2016). https://doi.org/10.1007/s00264-015-2923-3

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  • DOI: https://doi.org/10.1007/s00264-015-2923-3

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