After Revision Hip Arthroscopy, Patients Having Either Circumferential or Segmental Labral Reconstructions for the Management of Irreparable Labra Show Clinical Improvement Based on Proper Indications
Authors
Maldonado DR, Ouyang V, Lee MS, Jimenez AE, Sabetian PW, Saks BR, Lall AC, Domb BG
Background
- Revision hip arthroscopy is often performed for patients with irreparable labral tears.
- Two types of labral reconstruction procedures are commonly used: circumferential labral reconstruction (CLR) and segmental labral reconstruction (SLR).
Methods
- This study compared patients undergoing CLR and SLR using a retrospective review of patients who had labral reconstructions.
- A minimum of two-year follow-up was required for the study.
- The patients were grouped based on labral reconstruction type and compared based on patient-reported outcome scores (PROs).
Key Findings
- Both CLR and SLR showed significant improvement in PROs after surgery.
- Patient satisfaction and rates of achieving minimal clinically important differences (MCID) and patient-acceptable symptomatic states (PASS) were similar for both groups.
Conclusions
- Both CLR and SLR are effective for treating irreparable labral tears in hip revision surgeries.
- Patients showed similar improvements in outcomes regardless of which procedure was used.
What Does This Mean for Patients
- If you have irreparable labral tears in the hip and require revision surgery, both CLR and SLR can be effective treatment options.
- Both procedures offer similar outcomes, so the choice of procedure depends on other factors.