Minimum 5-Year Outcomes After Primary Segmental Labral Reconstruction for Irreparable Labral Tears in the Hip With Hamstring Grafts: With a Subanalysis Comparing Autograft Versus Allograft
Authors
Maldonado DR, Kyin C, Simpson JR, Annin S, Jimenez AE, Saks BR, Lall AC, Domb BG
Journal
Am J Sports Med, June 2022
Background
Labral tears in the hip can be irreparable, and segmental labral reconstruction (SLR) using hamstring grafts (autografts or allografts) has shown promise. Midterm outcomes, however, are not well-established.
Methods
- The study reviewed patients who underwent SLR for irreparable labral tears between 2010 and 2015.
- Autograft and allograft groups were propensity-matched based on age, sex, and BMI.
- Patient-reported outcomes (PROs) and secondary arthroscopy rates were evaluated at 5 years post-surgery.
Key Findings
- 85.4% of patients had significant improvements in PROs.
- Both autograft and allograft groups showed comparable improvements in all PROs, with no significant difference in patient satisfaction or outcomes.
- The secondary arthroscopy rate was 9.8%.
Conclusions
Both hamstring autografts and allografts for SLR in the context of irreparable labral tears show excellent long-term outcomes, with no major differences in efficacy between the two graft types.
What Does This Mean For Patients
For patients with irreparable labral tears, SLR using hamstring grafts can offer significant long-term improvement, and both autografts and allografts are effective options.