Comparing Hip Abductor Repair Techniques
Author Information
Author(s): Portela-Parra Eduardo BA, Sappey-Marinier Elliot MD, PhD, Julian Kaitlyn BS, Bini Stefano A. MD
Primary Institution: Department of Orthopaedic Surgery, University of California, San Francisco
Hypothesis
Hip abductor tendon repair with suture anchor fixation would lead to superior patient-reported outcomes and fewer postoperative complications compared with transosseous suture repair.
Conclusion
There were no significant differences in patient-reported hip outcomes and pain scores between suture anchor and transosseous suture techniques, although suture anchor fixation trended toward a higher retear rate.
Supporting Evidence
- Both techniques showed significant improvement in pain scores and functional outcomes.
- Suture anchor technique had a mean improvement of 32.5 in Harris Hip Score compared to 21.9 for transosseous suture.
- Retear rates trended higher for suture anchors at 6.7% compared to 1.3% for transosseous sutures.
Takeaway
This study looked at two ways to fix hip tendon tears and found that both methods helped people feel better, but one method might have a slightly higher chance of the tendon tearing again.
Methodology
A systematic review and meta-analysis of 21 studies comparing clinical outcomes of hip abductor repairs using suture anchors and transosseous sutures.
Potential Biases
Potential biases due to lack of blinding and loss to follow-up in some studies.
Limitations
Heterogeneity in patient selection, postoperative care protocols, and outcome measures; small sample sizes in many studies.
Participant Demographics
The study included 680 patients, with a predominance of middle-aged and elderly women.
Statistical Information
P-Value
.06
Confidence Interval
95% CI, 28.4-36.7 for SA; 95% CI, 6.7-37.0 for TS
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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