Endoscopic Hip Abductor Repair: A Comparative Outcomes Study of Two Anchors.

IF 1.3 4区 医学 Q3 ORTHOPEDICS
Orthopedics Pub Date : 2025-11-01 Epub Date: 2025-11-25 DOI:10.3928/01477447-20251016-01
J W Thomas Byrd, Kay S Jones, Sharon P Duncan
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引用次数: 0

Abstract

Background and objective: The aim of this study was to compare outcomes of endoscopic hip abductor repair with Healicoil® Regenesorb (RG) vs Q-FIX® anchors at 2-year follow-up.

Materials and methods: The 2-year follow-up modified Harris Hip Score of 51 consecutive hips (49 patients) repaired with Healicoil RG anchors were compared to that of 38 consecutive hips (35 patients) repaired with Q-FIX anchors.

Results: There was no statistically significant difference between the two groups in terms of age, sex, partial vs full thickness tears, one vs two tendon involvement, single vs double row repair, or concomitant correction of femoroacetabular impingement (FAI). For Healicoil, the mean improvement was 38.6 points, with 98% achieving minimal clinically important difference (MCID) of 6.8 points vs Q-FIX with mean improvement of 29.5 points and 92.1% achieving MCID of 7.5 points. The mean improvement was statistically superior for Healicoil. Within each of the two groups, there was no statistically significant difference in outcomes for partial vs full thickness tears, one vs two tendon involvement, single vs double row repairs, or concomitant correction of FAI. There were no complications in either group. One patient in the Healicoil group subsequently underwent total hip arthroplasty at 11 months following repair.

Conclusion: The Healicoil RG resulted in statistically significant greater improvement over the Q-FIX for endoscopic tendon repair. These two products demonstrate differing features, offering versatility in decision making for a variety of tear types, and both provide successful outcomes in terms of average improvement in modified Harris Hip Scores and percentage of patients achieving MCID with low likelihood of complications or need for further surgery.

内窥镜髋关节外展肌修复:两种锚钉的比较结果研究。
背景和目的:本研究的目的是比较Healicoil®Regenesorb (RG)和Q-FIX®锚钉进行髋关节外展肌内镜修复的2年随访结果。材料与方法:对51例(49例)Healicoil RG锚钉修复的连续髋关节与38例(35例)Q-FIX锚钉修复的连续髋关节进行2年随访的改良Harris髋关节评分进行比较。结果:两组在年龄、性别、部分与全层撕裂、一根与两根肌腱受累、单排与双排修复、股髋臼撞击(FAI)合并矫正方面无统计学差异。Healicoil的平均改善为38.6分,98%的患者达到6.8分的最小临床重要差异(MCID),而Q-FIX的平均改善为29.5分,92.1%的患者达到7.5分的MCID。平均改善在统计学上优于Healicoil。在两组中,部分撕裂与全层撕裂、一根肌腱与两根肌腱受累、单排修复与双排修复或FAI合并矫正的结果均无统计学差异。两组均无并发症发生。Healicoil组的一名患者随后在修复后11个月接受了全髋关节置换术。结论:Healicoil RG在内窥镜跟腱修复中的疗效显著优于Q-FIX。这两种产品表现出不同的特点,为各种撕裂类型的决策提供了多功能性,并且在改进的Harris髋关节评分的平均改善和实现MCID的患者百分比方面都取得了成功,并发症的可能性较低或需要进一步手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Orthopedics
Orthopedics 医学-整形外科
CiteScore
2.20
自引率
0.00%
发文量
160
审稿时长
3 months
期刊介绍: For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice. The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.
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