Minimum 5-Year Outcomes of Arthroscopic Hip Labral Reconstruction With Nested Matched-Pair Benchmarking Against a Labral Repair Control Group
Authors: Domb BG, Battaglia MR, Perets I, Lall AC, Chen AW, Ortiz-Declet V, Maldonado DR
Background:
- Arthroscopic labral reconstruction is indicated for irreparable labral tears, but long-term comparative data to labral repair are limited.
- This study compares 5-year outcomes of labral reconstruction versus repair.
Methods
- Nested matched-pair study comparing PROs and patient satisfaction after labral reconstruction and labral repair with minimum 5-year follow-up.
Key Findings
- Both groups showed significant and comparable improvements in pain and function.
- Patient satisfaction was slightly lower in the reconstruction group.
Conclusions
- Labral reconstruction is a viable option for irreparable labral tears with durable outcomes comparable to repair.
- Slightly lower satisfaction may reflect patient expectations or complexity of cases.
What Does This Mean for Providers?
- Labral reconstruction should be considered a reliable surgical option when repair is not feasible.
- Manage patient expectations preoperatively, especially regarding satisfaction, when reconstruction is planned.
- Long-term functional outcomes support reconstruction as a durable treatment modality in complex labral pathology.