Arthroscopic Reconstruction of Segmental Defects of the Hip Labrum: Results in 22 Patients With Mean 2-Year Follow-Up

Arthroscopic Reconstruction of Segmental Defects of the Hip Labrum: Results in 22 Patients With Mean 2-Year Follow-Up

Authors

Chandrasekaran S, Darwish N, Close MR, Lodhia P, Suarez-Ahedo C, Domb BG

Journal: Arthroscopy. 2017 Sep;33(9):1685–1693

DOI: 10.1016/j.arthro.2017.03.015

Background

Segmental labral defects in the hip may require reconstruction when primary repair is not possible. Outcomes following this approach are limited.

Methods

Retrospective review of 22 patients who underwent arthroscopic labral reconstruction using tendon grafts, with a mean follow-up of 2 years. Outcomes included PROs, VAS for pain, satisfaction, revision surgery, and THA conversion.

Key Findings

• All patients showed significant improvement in pain and function scores.
• Only one required conversion to THA (4.5%) and two required revision arthroscopy.
• Mean satisfaction was 6.73 out of 10.

Conclusions

Arthroscopic labral reconstruction for segmental defects is a viable treatment option that significantly improves outcomes in both primary and revision cases.

What Does This Mean for Patients

Patients with labral damage that cannot be repaired may still benefit from reconstruction. This procedure can reduce pain and restore function in many cases.