Revision Hip Arthroscopy With Labral Reconstruction for Irreparable Labral Tears in Athletes: Minimum 2-Year Outcomes With a Benchmark Control Group
Authors: Jimenez AE, Lee MS, Owens JS, George T, Paraschos OA, Maldonado DR, Lall AC, Domb BG
Journal: American Journal of Sports Medicine, May 2022
DOI: 10.1177/03635465221085030
Background
Revision hip arthroscopy with labral reconstruction is increasingly utilized in athletes with irreparable labral tears. This study evaluates short-to-midterm outcomes and compares them with revision repairs.
Methods
- Athletes undergoing revision hip arthroscopy with labral reconstruction (2010–2019) were followed for at least 2 years.
- A matched control group included athletes who underwent revision labral repair.
- Outcomes included multiple PROs (mHHS, NAHS, HOS-SSS, VAS) and RTS.
Key Findings
- PROs improved significantly across all domains (P < .001).
- 61.5% achieved MCID for mHHS; 63.6% returned to sport.
- Re-revision rate was 10%.
- No significant difference in outcomes or RTS rates compared to the labral repair group.
Conclusions
Labral reconstruction during revision hip arthroscopy in athletes provides meaningful clinical improvement and RTS rates comparable to revision repairs, making it a strong surgical option for irreparable labral pathology.
What Does This Mean for Providers?
For athletes undergoing revision hip arthroscopy, labral reconstruction is a reliable and effective technique when the native labrum is irreparable. Functional outcomes and RTS rates mirror those of revision repairs, supporting its growing role in complex cases.