Comparable Minimum 2-Year Patient-Reported Outcome Scores Between Circumferential and Segmental Labral Reconstruction for the Management of Irreparable Labral Tear and Femoroacetabular Impingement Syndrome in the Primary Setting: A Propensity-Matched Study
Authors: Maldonado DR, Kyin C, Shapira J, Meghpara MB, Rosinsky PJ, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2021.04.037
Background
Irreparable labral tears and femoroacetabular impingement syndrome (FAIS) compromise hip function. Labral reconstruction is indicated when repair is not possible, but the comparative effectiveness of circumferential versus segmental reconstruction is unclear.
Methods
This propensity-matched study compared patient-reported outcomes (PROs) at a minimum 2-year follow-up between patients undergoing primary circumferential (full) versus segmental (partial) labral reconstruction for irreparable tears and FAIS.
Key Findings
Both circumferential and segmental reconstructions yielded significant improvements in pain, function, and hip health.
PROs and secondary surgery rates were comparable between both groups.
Conclusions
At two years post-surgery, circumferential and segmental labral reconstructions provide similar patient-reported outcomes. Surgical approach selection should be individualized based on labral pathology.
What Does This Mean for Providers?
- Both circumferential and segmental labral reconstruction are viable options with comparable mid-term outcomes.
- Tailor the reconstruction technique to the extent and pattern of labral damage.
- Counsel patients that outcomes are similar between approaches, supporting shared decision-making.
- Monitor patients postoperatively with an awareness that revision rates do not significantly differ between techniques.