Arthroscopic Reconstruction of Segmental Defects of the Hip Labrum: Results in 22 Patients With Mean 2-Year Follow-Up

Arthroscopic Reconstruction of Segmental Defects of the Hip Labrum: Results in 22 Patients With Mean 2-Year Follow-Up

Authors: Chandrasekaran S, Darwish N, Close MR, Lodhia P, Suarez-Ahedo C, Domb BG

Journal: Arthroscopy (2017 Sep;33(9):1685–1693)

DOI: 10.1016/j.arthro.2017.03.015

Background

Segmental labral defects, often encountered in revision or complex primary hip arthroscopy, may require reconstruction rather than repair.

Methods

Retrospective study of 22 patients undergoing arthroscopic labral reconstruction with tendon grafts, followed for 2 years. Outcomes included PROs, pain scores (VAS), satisfaction, and surgical failures.

Key Findings

• All patients showed significant improvement in function and pain.
• Low failure rate: only 1 patient converted to THA (4.5%), 2 underwent revision.
• Satisfaction averaged 6.73/10, indicating moderate patient contentment.

What Does This Mean for Providers?

• Arthroscopic labral reconstruction is a valuable option in cases of irreparable labral damage, especially in revision settings.
• While satisfaction rates may be lower than in primary labral repair, functional improvement is achievable.

Surgeons should ensure appropriate patient selection and educate on realistic outcome expectations.