Circumferential Labral Reconstruction for Irreparable Labral Tears in the Primary Setting: Minimum 2-Year Outcomes With a Nested Matched-Pair Labral Repair Control Group
Authors: Domb BG, Kyin C, Rosinsky PJ, Shapira J, Yelton MJ, Meghpara MB, Lall AC, Maldonado DR
DOI: 10.1016/j.arthro.2020.02.014
Background
This study assesses the effectiveness of circumferential labral reconstruction with anterior tibialis tendon allograft in patients with irreparable labral tears related to femoroacetabular impingement syndrome (FAIS), comparing outcomes to standard labral repair.
Methods
Patients undergoing circumferential labral reconstruction were matched to those receiving standard labral repair. Outcomes measured included Harris Hip Scores, pain scores, and revision surgery rates, with minimum 2-year follow-up.
Key Findings
- The reconstruction group experienced significant improvement in hip function and pain reduction.
- Revision rates were low in both groups (0% reconstruction vs. 3.6% repair).
- Functional outcomes were comparable between groups, indicating reconstruction is an effective primary treatment for irreparable tears.
Conclusions
Circumferential labral reconstruction is a viable option for irreparable labral tears, providing functional outcomes similar to labral repair in patients with FAIS.
What Does This Mean for Providers?
Providers should consider circumferential labral reconstruction using anterior tibialis allograft as a primary treatment for irreparable labral tears, particularly when repair is not feasible. This technique can achieve excellent patient-reported outcomes and low revision rates comparable to traditional repair, potentially expanding surgical options for complex labral pathology.