AANA19 Hip Access Pass-Arthroscopic Debridement vs. Refixation of the Acetabular Labrum Associated with Femoroacetabular Impingement_ Updated Mean 6.5-year Follow-up.-Dr. Christopher M. Larson, M.D.

Arthroscopic Debridement vs. Refixation of the Acetabular Labrum Associated with Femoroacetabular Impingement_ Updated Mean 6.5-year Follow-up.-Dr. Christopher M. Larson, M.D.

Back to course

Video Transcription

Video Summary

This seven-year follow-up study compares outcomes of labral refixation versus debridement in patients with femoroacetabular impingement (FAI). Initially, no significant differences were seen, but at 19 months and onwards, labral refixation showed significantly better patient outcomes, including improved Modified Harris Hip, SF-12, and VAS scores. The refixation group had higher good-to-excellent result rates (86.3% vs. 47.7%) and lower failure rates (13.7% vs. 29.6%). Though outcomes declined over time for both, the disparity favoring labral preservation increased. The study suggests labral repair provides better long-term joint preservation than debridement.

Keywords

labral refixation

debridement

femoroacetabular impingement

long-term outcomes

hip joint preservation