Our Summary

This research paper is about a study that looked at how effective a certain kind of hip surgery, called Arthroscopic Labral Base Repair (LBR), was over a long period of time. The study followed up with patients five years after they had the surgery to see how well it had worked.

Patients with specific pre-existing hip conditions were excluded from this study to ensure the results would be as accurate as possible. The researchers looked at several ways to measure how successful the surgery was, including different scores that rate hip function and pain, as well as overall patient satisfaction.

The research found that five years after surgery, patients were still experiencing significant improvements compared to how they were before the surgery. These improvements were also similar to how well they were doing two years after surgery, suggesting that the benefits of this surgery can last for a long time.

However, some patients did need additional surgeries within the five years after their initial surgery. This research is important because it shows that this type of hip surgery can be very effective over the long term, but more research is needed to understand the full lifespan of this surgical procedure.

FAQs

  1. What is the Arthroscopic Labral Base Repair (LBR) surgery and how effective is it over a long period of time?
  2. What methods were used by the researchers to measure the success of the surgery?
  3. What are the long-term benefits of the surgery and what further research is needed to understand the full lifespan of the procedure?

Doctor’s Tip

One helpful tip a doctor might tell a patient about labral repair is to follow the post-operative rehabilitation plan carefully. This may include physical therapy exercises to strengthen the hip muscles and improve range of motion, as well as avoiding certain activities that could put strain on the hip joint. By following the rehabilitation plan, patients can optimize their recovery and potentially reduce the risk of complications or the need for additional surgeries in the future.

Suitable For

Patients who are typically recommended for labral repair surgery are those who have hip pain and dysfunction due to a labral tear or injury. These patients may have symptoms such as hip pain, clicking or locking of the hip joint, limited range of motion, or instability in the hip joint.

It is important for patients to undergo a thorough evaluation by a healthcare provider to determine if they are a good candidate for labral repair surgery. In some cases, conservative treatments such as physical therapy or medications may be recommended before surgery is considered.

Patients who have certain pre-existing hip conditions, such as advanced osteoarthritis or avascular necrosis, may not be good candidates for labral repair surgery. These conditions can affect the success of the surgery and may require alternative treatment options.

Overall, patients who are in good overall health and have a specific hip condition that can be addressed through labral repair surgery are typically recommended for this procedure. It is important for patients to discuss their symptoms and treatment options with their healthcare provider to determine the best course of action for their individual situation.

Timeline

Before labral repair:

  • Patient experiences hip pain, clicking, and limited range of motion
  • Patient undergoes diagnostic tests such as imaging studies to determine the cause of their symptoms
  • Patient consults with an orthopedic surgeon who recommends arthroscopic labral repair as a treatment option
  • Patient undergoes pre-operative evaluations and preparations for surgery

After labral repair:

  • Patient undergoes arthroscopic labral base repair surgery
  • Patient undergoes post-operative rehabilitation and physical therapy to regain strength and range of motion in the hip
  • Patient experiences initial pain and discomfort after surgery, which gradually improves over time
  • Patient gradually resumes normal activities and sees improvements in hip function and pain
  • Patient follows up with their surgeon for periodic evaluations to monitor their progress and address any concerns
  • Five years after surgery, patient still experiences significant improvements in hip function and pain compared to before surgery, with some patients requiring additional surgeries within this timeframe.

What to Ask Your Doctor

Some questions a patient should ask their doctor about labral repair may include:

  1. What is the specific reason for recommending Arthroscopic Labral Base Repair (LBR) for my hip condition?
  2. What are the potential risks and complications associated with this surgery?
  3. How long is the recovery process expected to be, and what can I do to optimize my recovery?
  4. Will I need physical therapy after the surgery, and if so, for how long?
  5. What are the expected outcomes of this surgery in terms of pain relief and improved hip function?
  6. Are there any restrictions or limitations I will need to follow after the surgery?
  7. How long do the benefits of this surgery typically last, and are there any factors that may affect the long-term success of the procedure?
  8. How often will I need follow-up appointments to monitor my progress after the surgery?
  9. What signs or symptoms should I watch out for that may indicate a complication or the need for further medical intervention?
  10. Are there any alternative treatment options available, and how does Arthroscopic Labral Base Repair compare to these alternatives in terms of effectiveness and recovery time?

Reference

Authors: Domb BG, Yuen LC, Ortiz-Declet V, Litrenta J, Perets I, Chen AW. Journal: Am J Sports Med. 2017 Oct;45(12):2882-2890. doi: 10.1177/0363546517713731. Epub 2017 Jul 21. PMID: 28731779