Hip Chondrolabral Dysfunction: The Road From Excision to Repair, Replacement, and Regeneration

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Biomedical Engineering

Background:

• Hip arthroscopy was described before 2000 but gained clinical traction in the early 2000s.
• Utilization has steadily increased, supported by technical, anatomic, and clinical evidence.

Purpose of the Study:

• To review key developments in hip arthroscopy over 25 years.
• To highlight advancements in labral pathology management, including repair and reconstruction.
• To discuss basic science, clinical trials, and patient-centered care in hip arthroscopy.

Main Methods:

• Comprehensive review of clinical outcomes studies.
• Analysis of biomechanical and biomotion/imaging research.
• Inclusion of basic science and translational research on novel therapies.

Main Results:

• Significant progress in labral repair and reconstruction techniques.
• Improved understanding of acetabular anatomy and its implications.
• Evidence guiding surgical strategies from debridement to reconstruction.

Conclusions:

• Hip arthroscopy has evolved with evidence-based treatments for labral pathology.
• Future directions include orthobiologics, regenerative medicine, and personalized approaches.
• Research aims to improve outcomes and minimize revision surgery in hip arthroscopy.