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. 2017 Nov 22;5(1):73-77.
doi: 10.1093/jhps/hnx033. eCollection 2018 Jan.

Outcomes following arthroscopic hip segmental labral reconstruction using autologous capsule tissue or indirect head of the rectus tendon

Renato Locks  1   2 , Jorge Chahla  2 , Ioanna K Bolia  2 , Karen K Briggs  2 , Marc J Philippon  1   2
Affiliations

Outcomes following arthroscopic hip segmental labral reconstruction using autologous capsule tissue or indirect head of the rectus tendon

Renato Locks et al. J Hip Preserv Surg. .

Abstract

The purpose of this study was to determine the outcomes following segmental labral reconstruction (labral defects measuring <1 cm) using a segment of capsular tissue or a segment of the indirect head of rectus femoris tendon. Eleven patients (five females and six males) underwent segmental labral reconstruction using a segment of capsule (eight patients) or indirect head of rectus tendon (three patients) by a single surgeon from March 2005 to October 2012. The average age of the patients was 35 years old (range, 20-51 years). Data collected included the pre- and post-operative Hip Outcome Score (HOS-ADL and HOS-SS), the modified Harris Hip Score and patient satisfaction rate (1 = unsatisfied, 10 = very satisfied), complications, necessity of revision hip arthroscopy and conversion to total hip arthroplasty. Average follow-up time was at 62 months (range, 9-120 months). No patient required revision hip arthroscopy or converted to total hip arthroplasty. The HOS-ADL significantly improved from 73 to 89 (P < 0.05). The HOS-SS showed significant improvement from 52 to 79 and the modified Harris Hip Score significantly improved from 66 to 89. Median patient satisfaction rate was 9 out of 10 (range, 3-10). In a small sample, the arthroscopic hip segmental labral reconstruction showed significant improvement in patient-reported outcomes. This treatment provides an option in cases of small labrum defects (<1 cm) or deficits in patients while providing improved function and high patient satisfaction.

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Figures

Fig. 1.
Fig. 1.
Anatomic demonstration of the possible donor sites for segmental reconstruction for labrum defects measuring <1 cm.
Fig. 2.
Fig. 2.
Arthroscopic view showing the labral deficiency and the anchor placement for segmental reconstruction using capsular tissue as a local graft.
Fig. 3.
Fig. 3.
Arthroscopic view after the segmental reconstruction with capsular tissue.
See this image and copyright information in PMC

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