In Search of Labral Restoration Function with Hip Arthroscopy: Outcomes of Hip Labral Reconstruction vs. Labral Repair
Authors: Maldonado DR, Kyin C, Chen SL, Rosinsky PJ, Shapira J, Meghpara MB, Lall AC, Domb BG
Background
Labral tears commonly occur with femoroacetabular impingement syndrome (FAIS). Surgical options include labral repair or labral reconstruction, but comparative long-term outcomes data remain limited.
Methods
Systematic review of 10 studies comparing patient-reported outcomes (mHHS, NAHS) in labral repair versus reconstruction.
Key Findings
- Both procedures yield significant functional improvement and pain relief.
- Labral reconstruction is associated with a slightly higher rate of later total hip arthroplasty (THA) conversion.
Conclusions
Both repair and reconstruction improve hip outcomes, but labral repair may provide marginally better long-term joint preservation.
What Does This Mean for Providers?
When feasible, prioritize labral repair over reconstruction for FAIS patients to optimize joint preservation and reduce the risk of future THA. Use patient-specific factors and labral tissue quality to guide surgical decision-making.