Return to Sport and Athletic Function in an Active Population After Primary Arthroscopic Labral Reconstruction of the Hip
Authors: Maldonado DR, Chen SL, Yelton MJ, Rosinsky PJ, Walker-Santiago R, Shapira J, Lall AC, Domb BG
Background
Labral reconstruction is increasingly performed for irreparable labral tears, especially in athletes. This study evaluates clinical outcomes and rates of return to sport following primary arthroscopic labral reconstruction in an active population.
Methods
Thirty-two athletes who underwent primary arthroscopic labral reconstruction between 2012 and 2017 were assessed with validated hip function scores and a return-to-sport survey at a minimum 1-year follow-up.
Key Findings:
- Significant improvements in hip function and pain were observed postoperatively.
- 84.4% of patients achieved the minimal clinically important difference (MCID) in hip function scores.
- 78% of patients returned to their sport within one year of surgery.
Conclusions
Primary arthroscopic labral reconstruction offers substantial functional improvement and enables a majority of athletes to return to sport within a year, supporting its use in active patients with irreparable labral tears.
What Does This Mean for Providers?
Providers treating active patients with irreparable labral tears should consider arthroscopic labral reconstruction as a viable option that facilitates significant functional recovery and a high likelihood of return to athletic activities within a year. Counseling patients about realistic expectations and rehabilitation timelines is critical to optimizing outcomes.