To describe the ‘mini-Max’ approach to labrum repair using non-absorbable 2.4-mm knotless suture anchors and report objective clinical outcomes with a large single-surgeon cohort. Level 3 retrospective case series. A retrospective review was conducted to report the use and allocation of non-absorbable 2.4-mm knotless suture anchors during ‘mini-Max’ labral repair from 2015 to 2018. Descriptive analysis of the labral damage severity, size and number of anchors used to arthroscopically repair the acetabular labrum was performed. Paired-samples t-tests were performed to evaluate whether preoperative and 1-year follow-up patient-reported outcomes (PROs) were statistically significant. An analysis of variance was performed comparing PROs with categorized number of labral anchors. A total of 390 patients were queried in this study, with 330 (85%) diagnosed intraoperatively with acetabular labral tears. A total of 245 patients (137 females and 108 males) with a mean age of 30.1 ± 11.6 years (mean ± SD) at the time of surgery underwent ‘mini-Max’ labral refixation. Of the 245 labral tears, 88 (35.9%) were graded as mild, 113 (46.1%) as moderate and 44 (18.0%) as severe. Labral repairs required an average of 2.1 ± 0.67 anchors across all patients included. Forty-one repairs (16.7%) required one anchor, 139 (56.7%) required two anchors, 63 (25.7%) required three anchors and 2 (0.8%) required four anchors. Significant improvements were reported for all PROs (P ≤ .001) at a minimum of 1-year follow-up. Arthroscopic ‘mini-Max’ labral repair using non-absorbable knotless suture anchors is a safe and effective technique for improving the lives of patients suffering from symptomatic acetabular labrum tears.

中文翻译：

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'Mini-Max' 无结髋臼盂唇修复：修复构造原理和分配在连续病例系列中，至少 1 年临床结果

描述使用不可吸收的 2.4 毫米无结缝合锚钉修复盂唇的“mini-Max”方法，并报告大型单外科医生队列的客观临床结果。3 级回顾性病例系列。回顾性研究报告了 2015 年至 2018 年“mini-Max”盂唇修复期间不可吸收的 2.4 毫米无结缝合锚钉的使用和分配情况。对用于关节镜检查的盂唇损伤严重程度、大小和锚钉数量进行描述性分析修复了髋臼盂唇。进行配对样本 t 检验以评估术前和 1 年随访患者报告的结果 (PROs) 是否具有统计学意义。进行方差分析，将 PRO 与分类数量的盂唇锚进行比较。本研究共询问了 390 名患者，330 (85%) 人在术中诊断为髋臼盂唇撕裂。共有 245 名患者（137 名女性和 108 名男性）在手术时平均年龄为 30.1 ± 11.6 岁（平均值 ± SD）接受了“mini-Max”盂唇再固定。在 245 例盂唇撕裂中，88 例（35.9%）为轻度，113 例（46.1%）为中度，44 例（18.0%）为重度。所有患者的盂唇修复平均需要 2.1 ± 0.67 个锚。41 处（16.7%）修理需要一个锚，139 处（56.7%）需要两个锚，63 处（25.7%）需要三个锚，2 处（0.8%）需要四个锚。在至少 1 年的随访中报告了所有 PRO 的显着改善 (P ≤ .001)。