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Arthroscopic Labral Base Repair in the Hip: Clinical Results of a Described Technique

Authors: Jackson TJ, Hanypsiak B, Stake CE, Lindner D, El Bitar YF, Domb BG

DOI: 10.1016/j.arthro.2013.11.021

Purpose

Evaluate outcomes of a specific labral base repair suture technique for labral tears and pincer FAI.

Methods

Patients followed for an average of 2.4 years; PROs, pain (VAS), and satisfaction assessed. Excluded arthritis grade ≥2 and other suture techniques.

Key Findings

  • Significant improvement in all PROs and pain (VAS decreased from 6.5 to 2.3).
  • 85.2% had good or excellent outcomes.
  • No major complications.
  • 5.6% needed revision; 3.7% progressed to hip replacement.

Conclusion

Labral base repair yields favorable results with improved function, pain relief, and patient satisfaction.

What This Means for Patients

This technique offers a reliable surgical option for specific labral tears with good pain control and outcomes.

What Does This Mean for Providers?

  • Consider labral base repair as an effective technique for labral tears associated with pincer impingement.
  • Patient selection is key; avoid in advanced arthritis or other contraindications.
  • Monitor for revision risk and counsel accordingly.
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