Arthroscopic Acetabuloplasty and Labral Refixation Without Labral Detachment
Authors: Redmond JM, El Bitar YF, Gupta A, Stake CE, Vemula SP, Domb BG
DOI: 10.1177/0363546514555330
Purpose
To compare clinical outcomes of arthroscopic acetabuloplasty and labral refixation performed without labral detachment versus with labral detachment in patients with an intact chondrolabral junction.
Methods
Prospective cohort study with a minimum 2-year follow-up comparing patients who underwent labral refixation without detachment to a matched group undergoing refixation with detachment.
Key Findings
- Both groups demonstrated significant improvements in patient-reported outcome measures and pain scores.
- No statistically significant difference was observed between groups regarding clinical outcomes or revision surgery rates.
Conclusion
Arthroscopic acetabuloplasty and labral refixation without labral detachment is an effective surgical technique for patients with intact chondrolabral junction, yielding similar outcomes to traditional labral detachment procedures.
What Does This Mean for Providers?
- When the chondrolabral junction is intact, consider preserving the labral attachment by performing refixation without detachment to minimize surgical trauma.
- This less invasive approach does not compromise clinical outcomes or increase revision rates compared to labral detachment.
- Careful patient selection based on preoperative imaging and intraoperative assessment is essential to identify candidates for this technique.