Primary Hip Arthroscopic Surgery With Labral Reconstruction: Is There a Difference Between an Autograft and Allograft?
Authors
Maldonado DR, Lall AC, Laseter JR, Kyin C, Chen JW, Go CC, Domb BG
DOI: 10.1177/2325967119833715
Background
Labral reconstruction is sometimes necessary for patients with irreparable labral tears. The use of autografts (from the patient’s own tissue) versus allografts (from a donor) is an important consideration in surgery, but no studies have directly compared the two.
Methods
The study compared outcomes for patients undergoing primary hip arthroscopic surgery with labral reconstruction using either a hamstring autograft or allograft. Outcomes were assessed after a minimum of two years using various hip scores.
Key Findings
Both autografts and allografts led to significant improvements in hip function and pain, with no significant differences between the two graft types. Patient satisfaction was high, and there were no major complications in either group.
Conclusions
Hamstring autografts and allografts are comparable in terms of clinical outcomes for hip labral reconstruction. Allografts may offer the advantage of avoiding donor site morbidity.
What Does This Mean for Patients
If you need labral reconstruction, both autografts and allografts are effective options. Allografts may be preferable if you want to avoid additional surgery to harvest tissue, but your surgeon will help you choose the best option for your needs.