{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T23:23:08Z","timestamp":1788736988234,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T00:00:00Z","timestamp":1702252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T00:00:00Z","timestamp":1702252800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T00:00:00Z","timestamp":1702252800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T00:00:00Z","timestamp":1702252800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","arthroscopyjournal.org","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare intraoperative labral characteristics and minimum 2\u2010year functional outcomes of allograft labral reconstruction in primary versus revision hip arthroscopy across multiple orthopaedic centers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective multicenter hip arthroscopy registry was queried for patients with completed labral reconstruction surgeries from January 2014 to March 2023 with completed 2\u2010year international Hip Outcome Tool\u201012 (iHOT\u201012) reports. Age, sex, and major intraoperative variables also were collected. Patients were placed in cohorts based on whether their arthroscopic allograft labral reconstruction was a primary procedure or secondary procedure (reconstruction following failed hip arthroscopy). One\u2010way analysis of variance was performed on continuous variables. \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      test was performed on categorical variables. Achievement of minimal clinically important difference (MCID), Patient Acceptable Symptom State (PASS), and Substantial Clinical Benefit (SCB) also was assessed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 77 patients met the inclusion and exclusion criteria and had complete information. The primary reconstruction group (n\u00a0= 50) was significantly older than the secondary reconstruction group (n\u00a0= 27) (47.5 \u00b1 10.5 vs 39.1 \u00b1 8.8 years;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001). In both cohorts, most patients had labral bruising, advanced labral degeneration, and\/or grade III complexity of labral tearing. There was no difference in any recorded intraoperative findings (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .160,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .783,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .357, respectively). Each cohort experienced significant improvement in iHOT\u201012 scores (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001). However, patients undergoing secondary labral reconstruction reported inferior iHOT\u201012 scores (60.1 \u00b1 29.2 vs 74.8 \u00b1 27.0;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .030). Patients undergoing primary reconstruction were more likely to reach MCID, PASS, and nearly normal SCB (92 vs 66.7%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .024; 68.0 vs 40.7%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .021; 76.0 vs 48.1%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.014, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Primary and secondary allograft labral reconstruction show clinical improvement, but primary reconstruction demonstrates better outcomes and greater percentage of patients reaching MCID, PASS, and nearly normal SCB than reconstruction in the revision setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative prognostic case\u2010control study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.11.034","type":"journal-article","created":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T22:33:31Z","timestamp":1702334011000},"page":"2009-2017","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Secondary Hip Labral Reconstruction Yields Inferior Minimum 2\u2010Year Functional Outcomes to Primary Reconstruction Despite Comparable Intraoperative Labral Characteristics"],"prefix":"10.1002","volume":"40","author":[{"given":"Matthew R.","family":"Yuro","sequence":"first","affiliation":[{"name":"Peachtree Orthopedics Atlanta Georgia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Kurapatti","sequence":"additional","affiliation":[{"name":"Peachtree Orthopedics Atlanta Georgia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominic S.","family":"Carreira","sequence":"additional","affiliation":[{"name":"Peachtree Orthopedics Atlanta Georgia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane","family":"Nho","sequence":"additional","affiliation":[{"name":"Midwest Orthopedics at Rush Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robroy","family":"Martin","sequence":"additional","affiliation":[{"name":"Duquesne University Pittsburgh Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew B.","family":"Wolff","sequence":"additional","affiliation":[{"name":"Washington Orthopaedics &amp; Sports Medicine Washington DC 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