A 12 Months Prospective Study Comparing Functional Outcome Scores in Hip Arthroscopic Labral Repair Versus Debridement

Ain Shams University20 enrolled

Overview

This study aims to address hip labral tears and compare between arthroscopic labral repair versus debridement.

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).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Hip Injuries Acetabular Labral Tear Femoro Acetabular Impingement

Interventions

Arthroscopic Labral RepairPROCEDURE

Patients with Hip Labral tears will be treated with labral repair

Arthroscopic Labral DebridementPROCEDURE

Patients with Hip Labral tears will be treated with labral debridement

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 Years

Medical Language ↔ Plain English

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.

Locations (1)

Ain Shams University

Cairo, Egypt

RECRUITING

Outcomes

Primary Outcomes

Change from baseline in Hip Function, as measured by Hip Outcome Score (HOS)

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

Time frame: Baseline, 1 year

Change from baseline in Hip Function, as measured by Harris Hip Score (HHS)

\<70 (poor result), 70-79 (fair result), 80-89 (good result) and \>90 (excellent result)

Time frame: Baseline, 1 year

Change from baseline in Pain, as measured by the Visual Analogue Scale (VAS)

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

Time frame: Baseline, 1 year

Central Contacts

Karim A Salem, MD

CONTACT

1000017388 karimatefsalem@gmail.com

Data from ClinicalTrials.gov

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