Decision Making for Labral Treatment in the Hip: Repair Versus Débridement Versus Reconstruction
Authors
Domb BG, Hartigan DE, Perets I.
J Am Acad Orthop Surg. 2017 Mar;25(3):e53-e62. doi: 10.5435/JAAOS-D-16-00144.
Purpose
To review and refine the decision-making process for treating acetabular labral tears by comparing indications and outcomes for repair, débridement, and reconstruction.
Methods
Literature review analyzing the role of the acetabular labrum, the impact of labral tears on joint health, and the pros and cons of different treatment modalities.
Key Findings
Labral preservation is crucial to maintain joint health and delay arthritis. Each treatment (repair, débridement, reconstruction) has specific indications, advantages, and limitations. The choice depends on labral tissue quality, tear characteristics, and patient factors.
Conclusions
A structured decision-making guide based on current evidence helps clinicians select the most appropriate labral treatment to optimize outcomes.
What Does This Mean For Patients
Patients can receive personalized treatment plans for hip labral tears, improving the chances of preserving hip function and delaying arthritis progression.