Hip Labral Reconstruction: Consensus Study on Indications, Graft Type and Technique among High-Volume Surgeons

Hip Labral Reconstruction: Consensus Study on Indications, Graft Type and Technique among High-Volume Surgeons

Authors

Maldonado DR, Lall AC, Walker-Santiago R, Rosinsky P, Shapira J, Chen JW, Domb BG
Link:DOI: 10.1093/jhps/hnz008

Background

Labral reconstruction is a critical procedure in hip arthroscopy, especially in cases where the labrum is irreparable. This study surveys high-volume hip arthroscopists to determine the current practices for labral reconstruction.

Methods

A survey was sent to 12 high-volume surgeons to understand their indications, graft preferences, and techniques for labral reconstruction.

Key Findings

Surgeons typically perform labral reconstruction in revision surgeries rather than primary cases. Allograft was the preferred graft type, and segmental reconstruction was more common than circumferential reconstruction.

Conclusions

Labral reconstruction is favored in revision hip surgeries, especially when the labrum is irreparable. Allograft is preferred for grafting.

What Does This Mean for Patients

If your labrum is irreparable after hip surgery, labral reconstruction using allograft may be the best option for restoring joint function.