A 12 Months Prospective Study Comparing Functional Outcome Scores in Hip Arthroscopic Labral Repair Versus Debridement
- Conditions
- Hip InjuriesAcetabular Labral TearFemoro Acetabular Impingement
- Interventions
- Procedure: Arthroscopic Labral RepairProcedure: Arthroscopic Labral Debridement
- Registration Number
- NCT06288867
- Lead Sponsor
- Ain Shams University
- Brief Summary
This study aims to address hip labral tears and compare between arthroscopic labral repair versus debridement.
- Detailed Description
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).
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 20
- Sex: both sexes.
- Age: 18 years - 60 years.
- Femoroacetabular impingement (FAI) including all types (cam, pincer, and combined).
- Traumatic Labral tears
- 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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Labral Repair Arthroscopic Labral Repair Labral tears will be repaired with suture anchors. Labral Debridement Arthroscopic Labral Debridement Labral Debridement will be done by electrocautery
- Primary Outcome Measures
Name Time Method Change from baseline in Hip Function, as measured by Hip Outcome Score (HOS) Baseline, 1 year 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
Change from baseline in Pain, as measured by the Visual Analogue Scale (VAS) Baseline, 1 year 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
Change from baseline in Hip Function, as measured by Harris Hip Score (HHS) Baseline, 1 year \<70 (poor result), 70-79 (fair result), 80-89 (good result) and \>90 (excellent result)
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Ain Shams University
🇪🇬Cairo, Egypt