Revision Hip Arthroscopy With Labral Reconstruction for Irreparable Labral Tears in Athletes: Minimum 2-Year Outcomes With a Benchmark Control Group

Revision Hip Arthroscopy With Labral Reconstruction for Irreparable Labral Tears in Athletes: Minimum 2-Year Outcomes With a Benchmark Control Group

Authors

Jimenez AE, Lee MS, Owens JS, George T, Paraschos OA, Maldonado DR, Lall AC, Domb BG

Journal

Am J Sports Med, May 2022

Background

Revision hip arthroscopy with labral reconstruction is becoming more common for athletes with irreparable labral tears. However, outcomes for this procedure are not well established.

Methods

• Data were collected from athletes who underwent revision hip arthroscopy with labral reconstruction between 2010 and 2019.
• Patient-reported outcomes (PROs) and return-to-sport (RTS) were assessed at a minimum of 2 years post-surgery.
• A control group of athletes who underwent revision hip arthroscopy with labral repair was matched for comparison.

Key Findings

• Significant improvements were noted in PROs: mHHS, NAHS, HOS-SSS, and VAS pain scores (P < .001).
• 61.5% achieved the minimal clinically important difference (MCID) for mHHS.
• 63.6% of athletes returned to sport (RTS), with a re-revision rate of 10%.
• When compared to the control group, the labral reconstruction group had similar PRO improvements and RTS rates.

Conclusions

Revision hip arthroscopy with labral reconstruction for irreparable labral tears offers significant improvements in PROs and similar RTS outcomes when compared to labral repair in athletes.

What Does This Mean For Patients

If you're an athlete with an irreparable labral tear requiring revision surgery, labral reconstruction is a viable option that can provide long-term benefits and high RTS rates.