Orthopedics & Orthopedic Surgery
Area of Focus: Arthroscopy and Sports Medicine
This video presents the indications, surgical procedure, and outcomes of using iliotibial band autograft during arthroscopic labral reconstruction of the hip.
Methods: Between 8/2005 and 5/2009, the senior author performed 130 arthroscopic labral reconstructions using an iliotibial band (ITB) autograft in patients with advanced labral degeneration or deficiency. Of these, 47 were a minimum of 1 year out following surgery and met the inclusion criteria. The Modified Harris Hip Score (MHHS) and patient satisfaction were used to measure outcomes.
Results: There were 32 males and 15 females with an average age of 37 years (from 18-55y). Time from injury to reconstruction averaged 36 months (1 month-12 y). Four patients (8%) underwent subsequent total hip arthroplasty. Followup was obtained on 37 of 43 patients. Time to followup averaged 18 months (range: 12-32 months). Average preoperative MHHS improved from 62 (range: 35-92) to 85 (range: 53-100) (p=0.001). Median patient satisfaction was 8 out of 10 (range: 1-10). Patients who were treated within a year of injury had higher MHHS scores compared to patients who waited longer (93 vs. 81; p=0.03). The independent predictor of patient satisfaction with outcome following labral reconstruction was age.
Conclusion: Patients who are labral deficient or have advanced labral degeneration had good outcomes and high satisfaction after arthroscopic labral reconstruction with an IT band autograft. Lower satisfaction was associated with joint space narrowing and increased age. Patients who waited longer from time of injury to surgery had lower function at followup.