Multicenter Outcomes After Primary Hip Arthroscopy: A Comparative Analysis of Two-Year Outcomes After Labral Repair, Segmental Labral Reconstruction, or Circumferential Labral Reconstruction

Allograft Labral Reconstruction of the Hip: Expanding Evidence Supporting Greater Utilization in Hip Arthroscopy

“…Publications reporting on the outcomes of arthroscopic allograft labral reconstruction have continued to increase, with eight new studies having been published in 2020-2021, alone, on the topic [4,10,[12][13][14]16,19,46]. Overall, evidence has shown highly positive patient-reported outcomes, low failure rates, and significant improvements in functional return to sports (Table 2).…”

“…In the studies we reviewed, circumferential reconstruction was the predominantly utilized technique, and allograft preferences included iliotibial band, anterior tibialis, hamstring, and tensor fascia lata. Where conversion to total hip arthroplasty (THA) was a measurable outcome, only 142 of 1823 hips (7%) were reported to have converted within the 1 to 2 years following surgery [4][5][6][12][13][14]19,20,[24][25][26]46]. Among the hips that did not fail, authors reported improvements on a wide variety of validated patient-reported outcome (PRO) measures, range of motion, and radiographic correction of bony hip impingement morphology [4,10,[12][13][14]19,25,46].…”

“…Where conversion to total hip arthroplasty (THA) was a measurable outcome, only 142 of 1823 hips (7%) were reported to have converted within the 1 to 2 years following surgery [4][5][6][12][13][14]19,20,[24][25][26]46]. Among the hips that did not fail, authors reported improvements on a wide variety of validated patient-reported outcome (PRO) measures, range of motion, and radiographic correction of bony hip impingement morphology [4,10,[12][13][14]19,25,46]. Where assessed, the mHHS showed an average improvement of 24 points [4][5][6]10,[12][13][14]19,20,25,26,36].…”

“…Among the hips that did not fail, authors reported improvements on a wide variety of validated patient-reported outcome (PRO) measures, range of motion, and radiographic correction of bony hip impingement morphology [4,10,[12][13][14]19,25,46]. Where assessed, the mHHS showed an average improvement of 24 points [4][5][6]10,[12][13][14]19,20,25,26,36]. Likewise, in a 2020 study on labral reconstruction in competitive athletes, Scanaliato [16] and colleagues found that all athletes reported substantial clinical benefit, with 87% of athletes returning to play in an average of 6.6 months.…”

“…Six meta-analysis or systematic reviews have been published in the last few years, alone, and point to equivalent or improved results with labral reconstruction compared to repair (Table 1) [7][8][9]11,17,18]. Likewise, at least 17 studies have been published within the last decade evaluating various outcomes of arthroscopic labral reconstruction using allograft [4,5,9,10,[12][13][14]16,[19][20][21][22][23][24][25][26][27] and autograft [28][29][30][31][32][33][34][35][36] techniques (Table 2). Overall, current evidence has concluded that arthroscopic labral reconstruction of the hip is associated with improved pain and functional status, low rates of complications or need for revision surgery, and rare progression of arthritis.…”