Purpose
To determine return-to-play rates and hip-specific outcomes in athlete hips with femoroacetabular
impingement syndrome treated with circumferential labral reconstruction (CLR).
Methods
All consecutive patients who underwent CLR from January through December 2016 performed
by the senior surgeon with complete 2-year outcome scores were identified. The hips
of 57 non-athletes who underwent CLR were excluded from analysis, as were 165 patients
who underwent labral repair and 4 patients who underwent labral debridement. Outcome
measures were completed by patients within 1 week prior to surgery and between 22
and 26 months postoperatively. Thirty patients met the inclusion criteria for this
study. All 30 participated in regular, competitive athletic events and had magnetic
resonance arthrogram–confirmed labral tears, and nonsurgical measures had failed.
Of the 30 patients, 5 (16.7%) participated in cutting sports; 5 (16.7%), asymmetrical
or overhead sports; 4 (13.3%), contact sports; 13 (43.3%), endurance sports; and 3
(10.0%), flexibility sports. Moreover, 25 of 30 (83.3%) were high-level athletes.
Both primary (n = 23) and revision (n = 7) procedures were included.
Results
As determined by the International Hip Outcome Tool 12 score, 28 of 30 patients (93.3%)
met the patient acceptable symptomatic state whereas 30 of 30 (100%) achieved substantial
clinical benefit and exceeded the minimal clinically important difference for their
operative hip. In addition, 23 of 30 patients (76.6%) met the patient acceptable symptomatic
state whereas 30 of 30 (100%) achieved substantial clinical benefit and exceeded the
minimal clinically important difference for the operative hip as determined by the
visual analog scale pain score. Of 30 patients, 26 (86.7%) were able to return to
play. The mean time to return to play was 6.6 months (standard deviation, 2.4 months).
Conclusions
Two-year outcomes in this population of athletes undergoing CLR for femoroacetabular
impingement syndrome show a statistically and clinically significant improvement in
patient-reported outcomes, a statistically and clinically significant decrease in
pain, and an overall return-to-play rate of 86.7%.
Level of Evidence
Level IV, therapeutic case series.
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Article info
Publication history
Published online: May 07, 2020
Accepted:
April 26,
2020
Received:
July 17,
2019
See commentary on page 2611Footnotes
Disclaimer: the views expressed in this publication are those of the author(s) and do not reflect the official policy or position of the Department of the Army, the Defense Health Agency or the Department of Defense.
The authors report the following potential conflicts of interest or sources of funding: A.B.W. is a consultant for Stryker and Allosource, outside the submitted work. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
Identification
Copyright
Published by Elsevier on behalf of the Arthroscopy Association of North America
