Durable Outcomes After Hip Labral Reconstruction at Minimum 5-Year Follow-Up: A Systematic Review
Authors
Curley AJ, Padmanabhan S, Prabhavalkar ON, Perez-Padilla PA, Maldonado DR, Domb BG
Journal
Arthroscopy, July 2023
Objective
To systematically review the mid- to long-term patient-reported outcomes (PROs) after hip labral reconstruction.
Key Findings
- All studies reviewed showed significant improvement in PROs from baseline to follow-up.
- After hip labral reconstruction, the modified Harris Hip Scores improved from 58.9-66.8 to 80.1-86.3.
- Revision arthroscopy rates ranged from 4.8% to 13.3%, while conversion to total hip arthroplasty ranged from 1.6% to 27%.
- Surgical technique and graft choice varied, including hamstring autografts, ligamentum teres autografts, and iliotibial band autografts.
Conclusion
Hip labral reconstruction can offer durable results with improved PROs beyond 5 years. Although there is variation in surgical techniques and graft selection, the procedure generally leads to positive outcomes in the long term.
What Does This Mean For Patients
If you're undergoing labral reconstruction for hip issues, you can expect long-term improvements in hip function and pain relief. However, be aware that some patients may still need revision surgeries or, in rare cases, a hip replacement.