Kocaoğlu B., Paksoy A. E.
20th ESSKA Congress, Paris, Fransa, 27 - 29 Nisan 2022, cilt.1, ss.606, (Tam Metin Bildiri)
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Yayın Türü:
Bildiri / Tam Metin Bildiri
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Cilt numarası:
1
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Basıldığı Şehir:
Paris
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Basıldığı Ülke:
Fransa
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Sayfa Sayıları:
ss.606
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Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli:
Evet
Özet
Objectives: Labral reconstruction has been described as a treatment option for the irreparable labral tear. Labral graft size which was used for reconstruction ranges from 5 to 7 mm2. Although thicker labral graft could support mechanic stability better and be more protective to cartilage, no study has compared effect of graft thickness on clinical outcomes.
The purpose of this study was to compare patient-reported outcomes between hips reconstructed with Autologous iliotibial band graft (5 mm2) and Allogeneic tibialis anterior tendon graft (7 mm2). Our hypothesis was that hips reconstructed with ticker allograft (7 mm2) would have better clinical outcomes than smaller autograft (5 mm2).
Methods: Forty-two patients who underwent arthroscopic hip segmental labral reconstruction during the study period of January 2016 to November 2018 with Autologous iliotibial band (AUITB) grafts (Size: 5mm2) and Allogeneic tibialis anterior (ALTA) grafts (Size: 7mm2) with concurrent study periods and similar lengths of follow-up (2-year minimum). The patients were aged 21 to 54 years at the time of surgery. Patients were grouped as; Group 1 (20 patients): AUITB grafts were used; Group 2 (22 patients): ALTA grafts were used. Patients were evaluated with Patient related outcome scores (PROs) which include modified Harris Hip score mHHS, Non arthritic hip scope (NAHS), Hip Outcome Score Sports Specific (HOS-SS) ). Pain evaluation was done by using Visual analog scoring (VAS) score.
Results: There were significant difference in all studied variables when compared pre and post operatively. On the other hand, there were no changes in terms of patient related outcome scores (PROs) between groups postoperatively. Post-operative VAS scores were for Group 1 averaged 2.1 compared with 1.9 in Group 2 (P=0.89); the mHHS, 82.7 compared with 83.3 (P=0.77); the NAHS, 81.1 compared with 82.2 (P=0.81); and the HOS- Sports Specific, 81.6 compared with 82.5 (P=0.67).
Conclusions: No differences were found in terms of clinical outcomes between 7 mm2 thick ALTA graft and 5 mm2 AUITB graft. Both graft types and thicknesses might be considered comparable choices for primary reconstruction. Although thicker graft labral reconstruction seemed to have more ability to cover joint surface which could support mechanic stability, clinical results did not show of a thicker graft whether it is Autologous or Allogeneic.