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Efficacy and safety of arthroscopic stimulation of bone marrow combined with labral repair in the treatment of acetabular labral injury: a multicenter randomized controlled trial (SMART)

Efficacy and safety of arthroscopic stimulation of bone marrow combined with labral repair in the treatment of acetabular labral injury: a multicenter randomized controlled trial (SMART)

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500100761
Enrollment
Unknown
Registered
2025-04-15
Start date
2025-05-20
Completion date
Unknown
Last updated
2025-04-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acetabular labral lesions

Interventions

Control group:Labral repair
Treatment group:Stimulation of bone marrow combined with labral repair

Sponsors

The First Affiliated Hospital of the Chinese People's Liberation Army Army Medical University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years

Inclusion criteria

Inclusion criteria: 1.Age 18-65 years; 2.Persistent pain occurring in a C-shaped distribution around the hip joint (including the groin area, lateral, and posterior regions); 3.After at least 3 months of conservative treatment (including physical therapy, medication management, and activity modification), symptoms did not show significant improvement; 4.Preoperative magnetic resonance imaging accurately diagnoses the labrum injury; 5.Intraoperative findings revealed that the base of the injured labrum was completely separated from the acetabular rim, with even labral prolapse occurring; 6.Acetabular labrum injury secondary to femoroacetabular impingement (FAIs), the radiological definition of FAIs is: an alpha angle greater than 55° at the junction of the femoral head and neck; and/or a lateral center-edge angle greater than 40° or other pelvic deformity X-ray signs, such as a positive crossover sign; 7.Voluntarily participate in the study and accept random selection for whether to receive subchondral bone marrow stimulation;

Exclusion criteria

Exclusion criteria: 1.Osteoarthritis of the hip joint on the affected side is present, as indicated by a Tonnis grade higher than 1 or an anterior-posterior pelvic X-ray demonstrating a joint space of less than 2 millimeters; 2.A history of hip injuries, including acetabular fractures, hip dislocations, or femoral neck fractures; 3.Previous orthopaedic surgery on the hip (open or arthroscopic);

Design outcomes

Primary

MeasureTime frame
Hip Outcome Score - activities of daily living;

Secondary

MeasureTime frame
Hip Outcome Score;Postoperative health status;Patient Satisfaction;Hip Survival Rate;Femoral and Acetabular Cartilage Volume in the Hip Joint;Hip Outcome Score - activities of daily living;Pain Score;Hip Osteoarthritis MRI Scoring;

Countries

China

Contacts

Public ContactGuangxing Chen

The First Affiliated Hospital of the Chinese People's Liberation Army Army Medical University

cgx7676@hotmail.com+86 23 6877306

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026