Revision Hip Arthroscopy With Labral Reconstruction for Irreparable Labral Tears in Athletes: Minimum 2-Year Outcomes...

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Hip Arthroscopy

Background:

• Increasing incidence of revision hip arthroscopy with labral reconstruction in athletes.
• Limited established outcomes for this procedure in athletic populations.

Purpose of the Study:

• Report minimum 2-year patient-reported outcome (PRO) scores and return to sports (RTS) after revision hip arthroscopy with labral reconstruction.
• Compare these outcomes to a propensity-matched control group undergoing revision hip arthroscopy with labral repair.

Main Methods:

• Prospective data collection and retrospective review of athletes undergoing revision hip arthroscopy with labral reconstruction (April 2010-March 2019).
• Minimum 2-year PROs assessed using mHHS, NAHS, HOS-SSS, VAS, and RTS.
• Propensity matching (1:1) to a revision labral repair group for comparison.

Main Results:

• Significant PRO improvements (mHHS, NAHS, HOS-SSS, VAS) post-reconstruction (P < .001).
• MCID achievement rates ranged from 61.5% to 76.9%.
• Re-revision surgery rate was 10%; 63.6% returned to sports (RTS).
• No significant differences in PROs, MCID/MOIST rates, re-revision rates, or RTS rates compared to the labral repair group.

Conclusions:

• Revision hip arthroscopy with labral reconstruction is a valid treatment for irreparable labral tears in athletes.
• Demonstrates significant PRO improvements and low revision rates.
• Offers comparable outcomes to revision hip arthroscopy with labral repair regarding PROs, RTS, and re-revision rates.