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No Difference in Pain Levels and Functional Outcomes After Primary Hip Arthroscopy With Labral Repair Versus Labral
Ryan S Marder1, Daniel J Garcia2, Sydney M Fasulo1
1St. Joseph's University Medical Center, Paterson, New Jersey, U.S.A.
Arthroscopy, Sports Medicine, and Rehabilitation
|September 22, 2025
Summary
Hip arthroscopy with labral repair (LR) and labral augmentation (LA) showed similar 1-year clinical outcomes. Both procedures achieved comparable patient-reported outcomes and clinical benefits for femoroacetabular impingement.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Hip Arthroscopy
Background:
- Femoroacetabular impingement (FAI) is a common cause of hip pain in active individuals.
- Hip arthroscopy with labral repair (LR) is a standard treatment.
- Labral augmentation (LA) using allografts is an alternative for specific labral conditions.
Purpose of the Study:
- To compare the 1-year clinical outcomes of primary hip arthroscopy with LR versus LA.
- To evaluate patient-reported outcome measures (PROMs) and achievement of clinical benefit thresholds.
Main Methods:
- Retrospective review of 99 patients undergoing primary hip arthroscopy (2019-2022).
- Comparison between LR (n=64) and LA (n=35) groups, with LA involving iliotibial band allograft.
- Assessment of PROMs including VAS pain, UCLA scale, mHHS, HOS-SS, and SEANE at minimum 1-year follow-up.
Main Results:
- No significant differences in postoperative PROMs between LR and LA groups.
- Similar achievement of minimal clinically important difference (MCID), patient acceptable symptom state (PASS), and substantial clinical benefit (SCB).
- Low revision rates: 3.1% in LR group and 0% in LA group.
Conclusions:
- Hip arthroscopy with LR and LA yield comparable 1-year clinical outcomes in active patients with FAI.
- Both techniques effectively address labral pathology, with no significant differences in patient-reported pain or function.
- LA may offer a viable alternative, particularly in cases of labral deficiency.
