Ahmed RF1, Ahmed HA, Mahmoud MA, Ibrahim MM, Kamal MS, Ashraf AA

Abstract

Background: The acetabular labrum is a fibrocartilagenous structure attached to the acetabular rim, it plays an important role in providing a seal enhancing the hip stability. Labral tears are the major cause of the hip joint pain and the leading indication for performing hip arthroscopy with many options of treatment such as debridement, repair and reconstruction. To the researchers’ knowledge, there have been no published studies in Egypt regarding the arthroscopic labral management. The aim of this study was to evaluate the functional outcomes after two years of following arthroscopic labral debridement in a cohort of adult Egyptian population with labral tears using the modified Harris hip scoring system.Materials & Methods: A prospective case series study from October 2014 till March 2018 including Egyptian adult population with labral tears, and routine hip joint arthroscopy was done and the partial labral debridement was performed. The modified Harris hip score was used to assess the functional outcomes both at the preoperative and the postoperative follow-ups after six months and three years. Results: The study included 25 patients with partial labral debridement. The commonest location of labral tear was antrosuperior (64%) and cam type femoroacetabular impingement was associated with labral tears in 22 patients. There was a statistically significant improvement in the patients’ functional outcome in three years postoperative with the P value of 0.000. Conclusions: This study has suggested that the arthroscopic unrepairable labral tear management with the partial labral debridement showed a significant improvement in the patients' functional score. This management option was safe with the reasonable rate of complications.