Minimum 5-Year Outcomes After Primary Segmental Labral Reconstruction for Irreparable Labral Tears in the Hip With Hamstring Grafts: With a Subanalysis Comparing Autograft Versus Allograft

Minimum 5-Year Outcomes After Primary Segmental Labral Reconstruction for Irreparable Labral Tears in the Hip With Hamstring Grafts: With a Subanalysis Comparing Autograft Versus Allograft

Authors: Maldonado DR, Kyin C, Simpson JR, Annin S, Jimenez AE, Saks BR, Lall AC, Domb BG

Journal: American Journal of Sports Medicine, June 2022

DOI: 10.1177/03635465221091192

Background

Segmental labral reconstruction (SLR) is used when native labral tissue is nonviable. This study evaluated midterm outcomes of SLR with hamstring autografts vs allografts, focusing on durability and patient-reported outcomes (PROs) over 5 years.

Methods

• Retrospective cohort of patients undergoing primary SLR (2010–2015).
• Patients received either hamstring autografts or allografts, matched for age, sex, and BMI.
• Outcomes included mHHS, NAHS, iHOT-12, satisfaction rates, and need for revision surgery.

Key Findings

• 85.4% of patients achieved significant improvements across all PROs.
• No significant differences in outcomes between autograft and allograft groups.
• Revision or secondary arthroscopy rate was 9.8%, indicating high long-term graft survivorship.

Conclusions

SLR using hamstring tissue provides reliable improvement in function and pain relief, regardless of graft source, with a low revision rate over 5 years.

What Does This Mean for Providers?

Providers can confidently consider both autograft and allograft hamstring tendons when performing segmental labral reconstruction for irreparable labral tears. Graft selection may be based on surgeon preference and patient-specific factors without compromising outcomes.