Ligamentum Teres Reconstruction May Lead to Improvement in Outcomes Following a Secondary Hip Arthroscopy for Symptomatic Microinstability: A Systematic Review
Authors
Shapira J, Yelton MJ, Rosinsky PJ, Maldonado DR, Meghpara MB, Ankem HK, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2021.01.022
Background
Hip microinstability, a condition where the hip joint is too loose, can cause pain and dysfunction. Ligamentum teres (LT) reconstruction may be a potential solution for patients who have persistent instability after previous hip surgeries.
Methods
The study reviewed articles about LT reconstruction in patients with symptomatic hip microinstability. It focused on patient outcomes, complications, and the need for follow-up surgeries.
Key Findings
LT reconstruction showed promising improvements in patient-reported outcomes, with many patients experiencing significant reductions in pain and improved hip function. However, a substantial proportion of patients required reoperation due to persistent instability or complications.
Conclusions
LT reconstruction can be an effective treatment for patients with hip microinstability, particularly those who have failed previous hip preservation surgeries. However, the procedure carries a risk of needing additional surgeries due to complications or continuing instability.
What Does This Mean for Patients
If you have hip instability that hasn't responded to earlier surgeries, LT reconstruction might improve your symptoms. However, it's important to know that some patients may need additional surgeries for persistent issues, so discussing this risk with your surgeon is crucial.