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This study aims to address hip labral tears and compare arthroscopic labral repair versus debridement in non-athletic population aged 20 to 50 years old, including both sexes.
Hip arthroscopy will be performed with the patient under general anesthesia. The patient will be placed in supine position, and traction and joint access will be controlled by fluoroscopy. An anterolateral portal and an inferior mid-anterior portal will be used. Any labral, chondral, and/or bony pathology (cam or pincer) will be treated. Labral tears may be debrided or repaired. Labral repairs will be secured with suture anchors.
Patient's functions will be evaluated preoperatively and postoperatively at 1, 3 and 6 months and 1 year and at the last follow-up using the Harris Hip Score (HHS), visual analog score (VAS), Hip Outcome Score Activities-Daily Living Subscale (HOS-ADL), and Sport-Specific Subscale (HOS-SSS).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Labral Repair | Active Comparator | Labral tears will be repaired with suture anchors. |
|
| Labral Debridement | Active Comparator | Labral Debridement will be done |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Arthroscopic Labral Repair | Procedure | Patients with Hip Labral tears will be treated with labral repair |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in Hip Function, as measured by Hip Outcome Score (HOS) | The HOS is a patient-completed measure that consists of an "Activities of Daily Living" subscale (17 scored items) and a "Sports" subscale (9 scored items) in which the response options are presented as 5-point Likert scales (Scores 0-4). Scores for each subscale range from 0% (least function) to 100% (most function).The highest potential score is 68, a higher score represents a higher level of physical function for both the ADL and sports subscales | Baseline, 1 year |
| Change from baseline in Hip Function, as measured by Harris Hip Score (HHS) | <70 (poor result), 70-79 (fair result), 80-89 (good result) and >90 (excellent result) | Baseline, 1 year |
| Change from baseline in Pain, as measured by the Visual Analogue Scale (VAS) | Scores are measured on a 100 mm VAS. The VAS ranges from 0 to 100 with 0 indicating no pain, and higher scores indicating greater pain | Baseline, 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Karim A Salem, MD | Ain Shams University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams University | Cairo | Egypt |
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| Arthroscopic Labral Debridement | Procedure | Patients with Hip Labral tears will be treated with labral debridement |
|
| ID | Term |
|---|---|
| D025981 | Hip Injuries |
| D057925 | Femoracetabular Impingement |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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