Comparable Minimum 2-Year Patient-Reported Outcome Scores Between Circumferential and Segmental Labral Reconstruction for the Management of Irreparable Labral Tear and Femoroacetabular Impingement Syndrome in the Primary Setting: A Propensity-Matched Study
Authors
Maldonado DR, Kyin C, Shapira J, Meghpara MB, Rosinsky PJ, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2021.04.037
Background
Irreparable labral tears and femoroacetabular impingement syndrome (FAIS) can significantly affect hip function. Labral reconstruction surgery can be used to repair these tears, but it is unclear whether circumferential (full) or segmental (partial) reconstruction results in better long-term outcomes.
Methods
This study reviewed patients who underwent primary labral reconstruction for irreparable labral tears and FAIS. Patients were matched based on factors like age and body mass index, and their patient-reported outcome measures (PROs) were compared after 2 years of follow-up.
Key Findings
Both circumferential and segmental labral reconstructions led to significant improvements in PROs, with similar outcomes in terms of pain, function, and overall hip health. The rates of secondary surgeries were also comparable between the two groups.
Conclusions
At least two years after surgery, circumferential and segmental labral reconstructions resulted in similar patient outcomes. The choice of approach should depend on the specific labral pathology, but both methods are effective for managing irreparable labral tears.
What Does This Mean for Patients
If you're facing labral reconstruction for a hip tear, the type of reconstruction (circumferential or segmental) will depend on your specific condition, but both approaches show good long-term results. Consult your surgeon for the most appropriate treatment for your case.