Primary Hip Arthroscopic Surgery With Labral Reconstruction: Is There a Difference Between an Autograft and Allograft?
Authors: Maldonado DR, Lall AC, Laseter JR, Kyin C, Chen JW, Go CC, Domb BG
Background
- Labral reconstruction is performed when the native labrum is irreparable. Graft choice—autograft vs allograft—can impact recovery, complications, and long-term outcomes.
Methods
- Patients undergoing primary labral reconstruction using either hamstring autograft or allograft were followed for at least 2 years. Outcome measures included pain scores, functional hip assessments, and patient satisfaction.
Key Findings
- Both graft types led to statistically and clinically significant improvements.
- No significant differences were found in pain reduction, function, or complication rates between groups.
- Allografts avoided donor-site morbidity associated with hamstring autograft harvest.
What Does This Mean for Providers?
- Both autografts and allografts are reliable options for labral reconstruction in primary hip arthroscopy.
- When available, allografts may be preferred to avoid hamstring harvest–related pain and recovery issues.
- Graft selection can be tailored based on patient preference, availability, and surgeon expertise, without compromising clinical outcomes.