Purpose
To assess the clinical and functional outcome of labral repair in patients aged older
than 50 years.
Methods
We performed a prospective analysis of 20 patients aged older than 50 years who had
undergone arthroscopic repair of a torn acetabular labrum (6 men and 14 women; mean
age, 58 years). The indication for surgery was groin pain due to various causes with
or without associated mechanical symptoms that did not respond to nonoperative treatment
for more than 6 months. Intraoperatively, all patients were diagnosed with labral
pathology. The mean duration of symptoms was 3.1 years (range, 0.5 to 15 years). The
mean follow-up period was 22 months (range, 12 to 35 months). The outcome was prospectively
measured with the modified Harris Hip Score (MHHS) and Hip Outcome Score (HOS).
Results
The indication for surgery was femoroacetabular impingement (FAI) with cam deformity
and a labral tear in 4 patients, FAI with pincer deformity and a labral tear in 1
patient, FAI with both deformities in 1 patient, a gluteus medius tear in 2 patients,
and an isolated labral tear in 12 patients. Acetabular chondral lesions were present
in 11 patients (55%). The mean preoperative and postoperative MHHS was 62.5 and 87.2,
respectively (P < .001); the mean preoperative and postoperative HOS was 42.7 and 86.3, respectively
(P < .001); and the mean preoperative and postoperative level of function during usual
activities of daily living according to the HOS was 46.0% and 73.7%, respectively
(P < .001). No significant difference was identified in MHHS and HOS between gender
groups.
Conclusions
Arthroscopic management of FAI and labral repair in patients aged older than 50 years
without significant arthritis (Tönnis grade 1 or better) are associated with significant
improvement in outcome. Because of the potential importance of the labrum for long-term
hip joint integrity, we advocate repair of the labrum in patients aged older than
50 years when possible.
Level of Evidence
Level IV, therapeutic case series.
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Article info
Publication history
Published online: January 27, 2014
Accepted:
December 16,
2013
Received:
April 16,
2013
Footnotes
Tomer Ben Tov and Eyal Amar equally contributed to this article.
The authors report that they have no conflicts of interest in the authorship and publication of this article.
Identification
Copyright
© 2014 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
