Arthroscopic treatment of borderline developmental dysplasia of the hip with labral tear: analysis of mid-term outcomes
10.3760/cma.j.cn115530-20230721-00008
- VernacularTitle:关节镜下治疗临界髋关节发育不良盂唇损伤的中期疗效分析
- Author:
Ziyuan LI
1
;
Gaolong SHI
;
Zhigao JIN
;
Zhihao CHEN
;
Zhuoyan LING
;
Jun GU
;
Zonggang XIE
Author Information
1. 彭水苗族土家族自治县人民医院骨科，重庆 409699
- Keywords:
Hip arthroscopy;
Hip joint;
Dysplasia;
Labral tear
- From:
Chinese Journal of Orthopaedic Trauma
2023;25(11):959-964
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical efficacy of arthroscopic limited incision of the articular capsule to repair the glenoid labrum in the treatment of borderline developmental dysplasia of the hip (BDDH) complicated with labral tear.Methods:A retrospective study was conducted to analyze the data of 18 patients with BDDH complicated with labral tear who had been admitted to Department of Orthopaedics, The Second Hospital Affiliated to Suzhou University from January 2016 to December 2019 (observation group). There were 12 males and 6 females with an age of (41.8 ± 8.5) years. Simultaneously, another 18 patients were selected as the control group whose hip development was normal but age and gender were matched with those in the observation group. There were 9 males and 9 females with an age of (43.5 ± 10.3) years. Both groups were treated by arthroscopic limited incision of the articular capsule to repair the glenoid labrum. The 2 groups were compared in terms of modified Harris hip score (MHHS), Hip Outcome Score Activities of Daily Living Subscale (HOS-ADL), and visual analogue scale (VAS).Results:There was no significant difference in the demographic data like age, gender ratio, body mass index, severity of labral tear or time from injury to operation between the 2 groups, indicating comparability between groups ( P>0.05). The observation and control groups were followed up for (38 ± 7) and (43 ± 6) months, respectively. For the observation and control groups, respectively, MHHS was (97.1 ± 3.3) points and (95.4 ± 4.2) points, HOS-ADL (92.6 ± 2.8) points and (91.4 ± 4.1) points, and VAS (0.6 ± 0.5) points and (1.0 ± 0.8) points, all showing no significant difference between groups ( P>0.05). Conclusion:In the treatment of BDDH patients complicated with labral tear, simple arthroscopic limited incision of the articular capsule to repair the glenoid labrum can lead to the same good medium-term efficacy as it can in those with normal hip development.
