In Revision Hip Arthroscopy, Labral Reconstruction Can Address a Deficient Labrum, but Labral Repair Retains Its Role for the Reparable Labrum: A Matched Control Study

In Revision Hip Arthroscopy, Labral Reconstruction Can Address a Deficient Labrum, but Labral Repair Retains Its Role for the Reparable Labrum: A Matched Control Study

Authors

Perets I, Rybalko D, Mu BH, Maldonado DR, Edwards G, Battaglia MR, Domb BG
Journal: Am J Sports Med. 2018 Dec;46(14):3437-3445.
DOI: 10.1177/0363546518809063
PMID: 30419171

Background

Revision hip arthroscopy is often required for labral pathology, but the optimal approach (labral repair vs. reconstruction) remains unclear. This study compares the outcomes of revision hip arthroscopy with labral repair and reconstruction.

Methods

Patients undergoing revision hip arthroscopy with labral reconstruction were matched with those who had labral repair. PROs, patient satisfaction, complications, and subsequent surgeries were assessed at a minimum 2-year follow-up.

Key Findings

Both labral reconstruction and repair yielded significant improvements in outcomes, but labral repair showed slightly better preoperative scores and higher postoperative patient-reported outcomes (PROs), particularly the modified Harris Hip Score (mHHS) and iHOT-12.

Conclusions

Labral reconstruction is effective for irreparable labra, while labral repair remains an excellent option for reparable labra. Both treatments provide significant improvements, and a decision-making algorithm is proposed.

What Does This Mean for Patients

Patients with reparable labra may achieve optimal outcomes with labral repair, while reconstruction is better suited for irreparable labra.

DOI: 10.1177/0363546518809063