Editorial Commentary: No Longer a Salvage Procedure: Allograft Labral Reconstruction of the Hip Rivals the Results of Labral Repair

Editorial Commentary: Segmental Hip Labral Reconstruction May Be Superior to Circumferential Reconstruction: Bigger Isn’t Better

“…Proponents of circumferential reconstruction argue that segmental techniques inadequately restore the labrum's function from incomplete treatment of the defect and mismatch at the labral-graft junction, which may also serve as a "weak spot" for future tear. 14,15 This argument was challenged by Suppauksorn et al 16 demonstrating circumferential reconstruction does not restore the suction seal effect as we once imagined. Now, we have 2-year comparative follow-up data from Maldonado et al 1 As a younger hip surgeon but admitted proponent of the segmental method, I have to wonder whether circumferential reconstruction ever truly is indicated given the added cost of additional anchors, complexity, and operating room time associated without clear benefit.…”

Irreparable Hip Labral Tears and Femoroacetabular Impingement Syndrome: Labral Reconstruction Incorporating the Transverse Acetabular Ligament May Restore the Suction Seal

“…Adding to the evidence and discussion, interested readers will discover in the current issue of Arthroscopy, "Circumferential Labral Reconstruction for Irreparable Labral Tears in the Primary Setting: Minimum Two-Year Outcomes with a Nested Matched-Pair Control" by Maldonado, Kyin, Rosinsky, Shapira, Yelton, Meghpara, Lall, and Domb 9 ; "Primary and Revision Circumferential Labral Reconstruction for Femoroacetabular Impingement in Athletes: Return to Sport and Technique" by Scanaliato, Chasteen, Polmear, Salfiti, and Wolff 10 ; and "No Longer a Salvage Procedure: Allograft Labral Reconstruction of the Hip Rivals the Results of Labral Repair" by White. 11 Return to sport after hip arthroscopy is promising. 12,13 In many respects, professional athletes represent a "best-case scenario," and return to sport rates have been reported, respectively, for Major League Baseball, the National Football League, the National Hockey League, and the National Basketball Association, as 83%, 14 84%, 15 91%, 16 and 88%.…”