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The Hip Labrum Reconstruction: Indications and Outcomes-an Updated Systematic Review.

Latifah Al Mana1, Ryan P Coughlin1, Veeral Desai1

  • 1Division of Orthopaedic Surgery, Department of Surgery, McMaster University, 1200 Main Street West, 4E17, Hamilton, ON, L8N 3Z5, Canada.

Current Reviews in Musculoskeletal Medicine
|March 29, 2019
PubMed
Summary
This summary is machine-generated.

This systematic review shows hip labrum reconstruction, particularly arthroscopic techniques, improves patient outcomes. Graft selection varied, but failure rates and conversion to total hip arthroplasty (THA) decreased in recent years.

Keywords:
Hip jointHip labrumReconstructionTechnique

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Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Regenerative medicine

Background:

  • Hip labral tears are increasingly recognized, leading to pain and dysfunction.
  • Labral reconstruction aims to restore hip joint function and alleviate symptoms.
  • Arthroscopic techniques have gained popularity for hip labral reconstruction.

Purpose of the Study:

  • To update the systematic review on hip labral reconstruction indications and outcomes.
  • To assess changes in graft selection and outcomes over the past five years.
  • To compare open versus arthroscopic surgical approaches for labral reconstruction.

Main Methods:

  • Systematic review of nine eligible studies (six case series, one cohort, two retrospective comparative studies).
  • Included 234 patients (265 hips) undergoing primary or revision labral reconstruction.
  • Analyzed patient-reported outcomes, functional scores, graft variability, surgical approach, and failure rates.

Main Results:

  • Arthroscopic approaches (86%) predominated over open (7.9%) and arthroscopic-assisted mini-open techniques (6%).
  • Graft variability increased, including allografts and autografts.
  • Observed improvements in patient-reported outcomes and functional scores, with decreased failure rates (9.5%) and conversion to total hip arthroplasty (THA) (5.7%) compared to previous reviews.

Conclusions:

  • Hip labrum reconstruction demonstrates short- to mid-term improvements in patient outcomes and function.
  • Indications for reconstruction remain consistent, focusing on young, active patients with irreparable or dysfunctional labral tears.
  • Failure rates and conversion to THA have decreased, suggesting improved technique efficacy, though long-term data is limited.