Radiographic and Demographic Factors Can Predict the Need for Primary Labral Reconstruction in Hip Arthroscopic Surgery: A Predictive Model Using 1398 Hips

Radiographic and Demographic Factors Can Predict the Need for Primary Labral Reconstruction in Hip Arthroscopic Surgery: A Predictive Model Using 1398 Hips

Authors

Maldonado DR, Chen JW, Walker-Santiago R, Rosinsky PJ, Shapira J, Lall AC, Kyin C, Domb BG
DOI: 10.1177/0363546519887749

Background

Labral tears are common in patients with hip impingement, and labral reconstruction may be necessary if the tear is irreparable. This study identifies factors that predict the need for labral reconstruction in hip arthroscopy.

Methods

The study compared patients who underwent labral reconstruction versus labral repair in hip arthroscopy. It analyzed factors like age, body mass index (BMI), and radiographic measurements.

Key Findings

Patients with higher BMI, older age, Tönnis grade 1 (early signs of arthritis), and higher lateral center-edge angle (LCEA) were more likely to need labral reconstruction.

These factors can be used to predict the likelihood of needing reconstruction before surgery.

Conclusions

Age, BMI, and specific radiographic measurements can help predict if a patient will require labral reconstruction during hip arthroscopy.

What Does This Mean for Patients

If you're undergoing hip arthroscopy, your surgeon may use factors like your age, BMI, and hip X-rays to determine whether labral reconstruction will be necessary for your tear.