Durable Outcomes After Hip Labral Reconstruction at Minimum 5-Year Follow-Up: A Systematic Review
Authors: Curley AJ, Padmanabhan S, Prabhavalkar ON, Perez-Padilla PA, Maldonado DR, Domb BG
Journal: Arthroscopy, July 2023
DOI: 10.1016/j.arthro.2023.02.015
Objective
Systematically review mid- to long-term patient-reported outcomes (PROs) following hip labral reconstruction.
Key Findings
- Significant improvements in PROs were observed across all studies.
- Modified Harris Hip Scores increased from baseline ranges of 58.9-66.8 to 80.1-86.3 at follow-up.
- Revision arthroscopy rates ranged from 4.8% to 13.3%; conversion to total hip arthroplasty (THA) ranged from 1.6% to 27%.
- Surgical techniques and graft types varied widely (hamstring autograft, ligamentum teres autograft, iliotibial band autograft).
Conclusion
Hip labral reconstruction demonstrates durable functional improvements over at least 5 years, with acceptable revision and conversion rates despite surgical heterogeneity.
What Does This Mean for Providers?
- Expect durable improvements in patient function and pain relief with labral reconstruction, supporting its use in appropriate cases.
- Consider patient-specific factors when selecting graft type and surgical technique, as no consensus on superiority exists.
- Counsel patients realistically about risks of revision or conversion to THA, especially in longer-term follow-up.
- Continue to monitor emerging evidence on graft choice and technique optimization to improve outcomes.