title: Arthroscopic labral repair versus labral debridement in patients with femoroacetabular impingement: a minimum 2.5 year follow-up study.
abstract: OBJECTIVE
  To compare the clinical results of labral repair with labral debridement in patients undergoing arthroscopy for femoroacetabular impingement.
  
  
  METHODS
  Between July 2008 and December 2011, 67 patients (73 hips) underwent arthroscopic treatment for femoroacetabular impingement. The repair group consisted of 33 patients; 18 hips with pincer only, 1 with CAM only and 15 with combined impingement. The debridement group contained 34 patients; 6 with pincer only, 5 with CAM only and 28 with combined type. The mean age in the repair group was 33.5 years (range, 30-61) and in the debridement group was 39.5 years (range, 18-59 y). At the time of last follow-up, patient's hip function was evaluated with ROM of the hip; daily Hip Outcome scores (dHOS) and Visual Analogue Score (VAS).
  
  
  RESULTS
  The mean follow-up was 45.2 month in the repair group and 47.2 month in debridement group. Daily hip outcome scores were significantly improved from preoperatively to last follow-up in both groups (p&lt;0.05). However, there were no statistical significant difference in dHOS between repair and debridement groups (p&gt;0.05) at last follow-up. 2 patients in the repair group and 1 patient in the debridement group had undergone total hip replacement at an average of 16 months (range, 4-32 m) after arthroscopic treatment. Hip joint instability occurred in 1 patient in the repair group due to aggressive capsular resection. This was treated by a periacetabular osteotomy.
  
  
  CONCLUSIONS
  No difference in hip functional outcomes was observed between labral debridement and labral repair in arthroscopic treatment of femoroacetabular impingement.
authors.affiliation: Department of Orthopaedics and Traumatology, Acibadem Fulya Hospital Sports Medicine Centre, Istanbul - Turkey.
authors.forename: Sarper
authors.initials: S
authors.lastname: Cetinkaya
authors.affiliation: Department of Orthopaedics and Traumatology, Acibadem Fulya Hospital Sports Medicine Centre, Istanbul - Turkey.
authors.forename: Berkin
authors.initials: B
authors.lastname: Toker
authors.affiliation: Department of Orthopaedics and Traumatology, Acibadem Faculty of Medicine, Acibadem Maslak Hospital, Istanbul - Turkey.
authors.forename: Vahit E
authors.initials: VE
authors.lastname: Ozden
authors.affiliation: Department of Orthopaedics and Traumatology, Acibadem Faculty of Medicine, Acibadem Maslak Hospital, Istanbul - Turkey.
authors.forename: Goksel
authors.initials: G
authors.lastname: Dikmen
authors.affiliation: Department of Orthopaedics and Traumatology, Acibadem Faculty of Medicine, Acibadem Fulya Hospital, Istanbul - Turkey.
authors.forename: Omer
authors.initials: O
authors.lastname: Taser
mesh_terms: D000293:Adolescent; D000328:Adult; D001182:Arthroscopy; D003646:Debridement; D005260:Female; D057925:Femoracetabular Impingement / Q000601:surgery*; D051445:Fibrocartilage / Q000601:surgery*; D005500:Follow-Up Studies; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult