Minimum 5-Year Outcomes of Arthroscopic Hip Labral Reconstruction With Nested Matched-Pair Benchmarking Against a Labral Repair Control Group

Minimum 5-Year Outcomes of Arthroscopic Hip Labral Reconstruction With Nested Matched-Pair Benchmarking Against a Labral Repair Control Group

Authors

Domb BG, Battaglia MR, Perets I, Lall AC, Chen AW, Ortiz-Declet V, Maldonado DR
DOI: 10.1177/0363546518825259

Background

Labral reconstruction is a technique used for irreparable labral tears, but there is limited evidence on its long-term effectiveness. This study compares the outcomes of labral reconstruction (PLRECON) versus labral repair (PLREPAIR) after a minimum of five years.

Methods

The study included patients who underwent hip arthroscopy for labral reconstruction and matched them to a control group that had a labral repair. Patient-reported outcomes (PROs) and satisfaction levels were assessed over five years.

Key Findings

Both labral reconstruction and labral repair showed significant improvement in pain and function, with similar long-term results. However, patients in the reconstruction group had slightly lower satisfaction scores compared to those who underwent repair.

Conclusions

Arthroscopic labral reconstruction is effective for irreparable labral tears, achieving similar functional outcomes to labral repair at five-year follow-up, though patient satisfaction may be slightly lower.

What Does This Mean for Patients

If you're undergoing hip surgery for a labral tear, both reconstruction and repair can provide long-term pain relief and functional improvement. Your surgeon will help determine which approach is best for you based on your specific condition.