Acetabular Labral Debridement/Segmental Resection Versus Reconstruction in the Comprehensive Treatment of Symptomatic Femoroacetabular Impingement: A Systematic Review
Authors: Forster-Horvath C, von Rotz N, Giordano BD, Domb BG
DOI: 10.1016/j.arthro.2016.04.035
Purpose
To compare outcomes of labral debridement/segmental resection versus reconstruction in treating FAI.
Methods
Systematic review of 20 studies (400 hips debridement/resection, 275 hips reconstruction) per PRISMA guidelines. Outcomes assessed primarily with mHHS.
Key Findings
- Comparable functional outcomes between techniques.
- Reconstruction used more often in revision settings; debridement more commonly in primary cases.
Conclusions
Labral reconstruction is a viable alternative to debridement/resection, especially in revision or non-repairable labral pathology.
What Does This Mean for Providers?
- Reconstruction should be considered when labral preservation is not feasible, particularly in revision scenarios.
- Providers should evaluate labral tissue quality intraoperatively to guide treatment choice.
- Early adoption of reconstruction techniques may improve long-term joint preservation in select patients.