Acetabular Labral Debridement/Segmental Resection Versus Reconstruction in the Comprehensive Treatment of Symptomatic Femoroacetabular Impingement: A Systematic Review

Acetabular Labral Debridement/Segmental Resection Versus Reconstruction in the Comprehensive Treatment of Symptomatic Femoroacetabular Impingement: A Systematic Review

Authors

Forster-Horvath C, von Rotz N, Giordano BD, Domb BG
DOI: 10.1016/j.arthro.2016.04.035

Purpose

To compare clinical outcomes between labral debridement/segmental resection and labral reconstruction for femoroacetabular impingement (FAI).

Methods

Systematic review of 20 studies including 400 hips undergoing labral debridement/resection and 275 hips undergoing reconstruction, following PRISMA guidelines.

Key Findings

Outcomes measured by modified Harris Hip Score showed comparable clinical results between both treatments. Reconstruction was more frequently used in revisions; debridement more commonly in primary surgeries.

Conclusions

Labral reconstruction is not inferior to debridement and is a useful revision strategy for unsalvageable labral pathology.

What Does This Mean For Patients

Patients with FAI have effective treatment options whether through labral repair or reconstruction, with good functional outcomes.