Hip Injuries, Acetabular Labral Tear, Femoro Acetabular Impingement
Conditions
Keywords
Hip Arthroscopy, Labral Repair, Labral Debridement, Acetabular Labral Tear
Brief summary
This study aims to address hip labral tears and compare between arthroscopic labral repair versus debridement.
Detailed description
Hip arthroscopy will be performed with the patient under general anesthesia. The patient will be placed in supine position, and traction and joint access will be controlled by fluoroscopy. An anterolateral portal and an inferior mid-anterior portal will be used. Any labral, chondral, and/or bony pathology (cam or pincer) will be treated. Labral tears may be debrided or repaired. Labral repairs will be secured with suture anchors. Patient's functions will be evaluated preoperatively and postoperatively at 1, 3 and 6 months and 1 year and at the last follow-up using the Harris Hip Score (HHS), visual analog score (VAS), Hip Outcome Score Activities-Daily Living Subscale (HOS-ADL), and Sport-Specific Subscale (HOS-SSS).
Interventions
PROCEDUREArthroscopic Labral Repair
Patients with Hip Labral tears will be treated with labral repair
PROCEDUREArthroscopic Labral Debridement
Patients with Hip Labral tears will be treated with labral debridement
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Sex: both sexes. * Age: 18 years - 60 years. * Femoroacetabular impingement (FAI) including all types (cam, pincer, and combined). * Traumatic Labral tears
Exclusion criteria
* Previous hip surgery. * Hip joint dysplasia, defined by both center edge (CE) angles \<25 degrees and Acetabular Index angle \>10 degrees. * Osteoarthritis grade \>2 according to Tönnis classification.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in Hip Function, as measured by Hip Outcome Score (HOS) | Baseline, 1 year | The HOS is a patient-completed measure that consists of an Activities of Daily Living subscale (17 scored items) and a Sports subscale (9 scored items) in which the response options are presented as 5-point Likert scales (Scores 0-4). Scores for each subscale range from 0% (least function) to 100% (most function).The highest potential score is 68, a higher score represents a higher level of physical function for both the ADL and sports subscales |
| Change from baseline in Hip Function, as measured by Harris Hip Score (HHS) | Baseline, 1 year | \<70 (poor result), 70-79 (fair result), 80-89 (good result) and \>90 (excellent result) |
| Change from baseline in Pain, as measured by the Visual Analogue Scale (VAS) | Baseline, 1 year | Scores are measured on a 100 mm VAS. The VAS ranges from 0 to 100 with 0 indicating no pain, and higher scores indicating greater pain |
Countries
Egypt
Contacts
Primary ContactKarim A Salem, MD
Outcome results
None listed