Evidence map›Paper›PMID 35369718›Full record

ArticleBone & joint open2022

Comparison of early outcomes of arthroscopic labral repair or debridement : a study using the UK Non-Arthroplasty Hip Registry dataset.

Richard James Holleyman, Stephen Lyman, Marcus J K Bankes, Tim Nicholas Board, Jonathan Lee Conroy, Callum Wilson McBryde, Antonio Jose Andrade, Ajay Malviya, Vikas Khanduja

Abstract read
In one paragraph

Article in Bone & joint open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. The trajectory of patient-reported outcomes after hip preservation surgery: A National Registry Study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Richard James HolleymanPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0001-9748-7932
Stephen LymanHospital for Special Surgery, New York, New York, USA.ORCID 0000-0003-4549-3817
Marcus J K BankesGuy's and St Thomas' NHS Foundation Trust, London, UK.ORCID 0000-0001-6713-2137
Tim Nicholas BoardWrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK.ORCID 0000-0002-3295-2087
Jonathan Lee ConroyHarrogate and District NHS Foundation Trust, Harrogate, UK.
Callum Wilson McBrydeThe Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK.
Antonio Jose AndradeRoyal Berkshire NHS Foundation Trust, Reading, UK.ORCID 0000-0002-9574-2247
Ajay MalviyaNorthumbria Healthcare NHS Foundation Trust, Newcastle upon Tyne, UK.ORCID 0000-0001-8053-1853
Vikas KhandujaAddenbrooke's Hospital - The Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID 0000-0001-9454-3978

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis study uses prospective registry data to compare early patient outcomes following arthroscopic repair or debridement of the acetabular labrum.

methodsData on adult patients who underwent arthroscopic labral debridement or repair between 1 January 2012 and 31 July 2019 were extracted from the UK Non-Arthroplasty Hip Registry. Patients who underwent microfracture, osteophyte excision, or a concurrent extra-articular procedure were excluded. The EuroQol five-dimension (EQ-5D) and International Hip Outcome Tool 12 (iHOT-12) questionnaires were collected preoperatively and at six and 12 months post-operatively. Due to concerns over differential questionnaire non-response between the two groups, a combination of random sampling, propensity score matching, and pooled multivariable linear regression models were employed to compare iHOT-12 improvement.

resultsA total of 2,025 labral debridements (55%) and 1,659 labral repairs (45%) were identified. Both groups saw significant (p < 0.001) EQ-5D and iHOT-12 gain compared to preoperative scores at 12 months (iHOT-12 improvement: labral repair = +28.7 (95% confidence interval (CI) 26.4 to 30.9), labral debridement = +24.7 (95% CI 22.5 to 27.0)), however there was no significant difference between procedures after multivariable modelling. Overall, 66% of cases achieved the minimum clinically important difference (MCID) and 48% achieved substantial clinical benefit at 12 months.

conclusionBoth labral procedures were successful in significantly improving early functional outcome following hip arthroscopy, regardless of age or sex. Labral repair was associated with superior outcomes in univariable analysis, however there was no significant superiority demonstrated in the multivariable model. Level of evidence: III Cite this article:

Indexed as

arthroscopic labral repairArthroscopyclinical outcomesDebridementEQ-5DFemoroacetabular Impingementfunctional outcome scoresHiphip arthroscopieshipsLabral debridementlabral debridementsLabral repairlabral repair techniquesLabrumOutcomespropensity score matching

Identifiers

PMID35369718
PMCPMC9044091

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.