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Hip arthroscopy with labral repair for femoroacetabular impingement: short-term outcomes

  • Christian DippmannEmail author
  • Kristian Thorborg
  • Otto Kraemer
  • Søren Winge
  • Henrik Palm
  • Per Hölmich
Hip

Abstract

Purpose

The purpose of this study was to examine the progression of clinical outcomes 3, 6 and 12 months after hip arthroscopy with labral repair for femoroacetabular impingement (FAI).

Methods

From May 2009 to December 2011, 87 consecutive patients [55 females (median age 38, range 17–63) and 32 males (median age 38, range 15–59)] underwent hip arthroscopy and labral repair, by the same experienced surgeon. Standardised, but unstructured, post-operative rehabilitation instructions were provided. Function and pain were evaluated using modified Harris Hip Score (mHHS) and visual analogue scale (VAS) pre-operatively and post-operatively at 3, 6, and 12 months.

Results

A main effect of time was seen for mHHS and pain (VAS) at 3, 6, and 12 months (p < 0.001). Mean (SE) mHHS improved significantly from 59.9 (1.9) pre-operatively to 74.5 (1.9) after 3 months (p < 0.001), and again from 3 to 6 months from 74.5 (1.9) to 80.1 (1.9) (p = 0.004), with no additional changes from 6 to 12 months [80.1 (1.9)–78.7 (1.9), (n.s.)]. Also, the mean (SE) VAS improved significantly from pre-operative 57.9 (2.6) to 30.0 (2.6) after 3 months (p < 0.001), and from 30.0 (2.6) to 22.6 (2.6) (p = 0.017), after 6 months with no additional changes from 6 to 12 months [22.6 (2.6)–27.9 (2.6), (n.s.)].

Conclusions

Improvements in function (mHHS) and pain (VAS) were seen in patients after hip arthroscopy with labral repair for FAI at 3, 6, and 12 months. While significant improvements occurred from 3 to 6 months, no further improvements were seen from 6 to 12 months.

Level of evidence

Prospective case series, Level IV.

Keywords

Hip arthroscopy 1 Patient reported outcome 2 Early results 3 Labral repair Femoroacetabular impingement 4 

Notes

Acknowledgments

The authors gratefully acknowledge the help of Physiotherapist, MSc., Thomas Linding Jakobsen, Department of Physiotherapy, Copenhagen University Hospital, Amager-Hvidovre, for the development of the rehabilitation manual. The authors gratefully acknowledge the statistical expertise and assistance of Ditte Sæbye from Institute of Preventive Medicine, Copenhagen University Hospital, Frederiksberg.

Supplementary material

167_2014_2885_MOESM1_ESM.pdf (979 kb)
Appendix 1 Twenty-six-page rehabilitation manual, which includes pictorial supplemented mobilisation and training exercises for all patients after hip arthroscopy. (Danish text) (PDF 979 kb)

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Christian Dippmann
    • 1
    Email author
  • Kristian Thorborg
    • 1
  • Otto Kraemer
    • 1
  • Søren Winge
    • 2
  • Henrik Palm
    • 3
  • Per Hölmich
    • 1
  1. 1.Arthroscopic Center Amager, Copenhagen University Hospital HvidovreCopenhagenDenmark
  2. 2.Copenhagen Private HospitalCopenhagenDenmark
  3. 3.Department of Orthopedic Surgery, Copenhagen University Hospital HvidovreCopenhagenDenmark

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