2022
DOI: 10.1016/j.arthro.2021.10.016
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Segmental and Circumferential Acetabular Labral Reconstruction Have Comparable Outcomes in the Treatment of Irreparable or Unsalvageable Labral Pathology: A Systematic Review

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Cited by 9 publications
(6 citation statements)
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“…As the acetabular labrum is crucial for maintenance of hip homeostasis and its suction seal effect, decades of research and surgical techniques have focused on preservation of labral structure when it comes to symptomatic labral tears. 12,14,16,19 Despite the progress of instruments and arthroscopic techniques, the treatment of irreparable labral tears remains a great challenge for surgeons. With the importance of the chondrolabral junction being studied and discussed in several basic science studies, 22,23 labral augmentation is preferable in some cases compared with labral reconstruction for the preservation of native innervation and vascularization.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…As the acetabular labrum is crucial for maintenance of hip homeostasis and its suction seal effect, decades of research and surgical techniques have focused on preservation of labral structure when it comes to symptomatic labral tears. 12,14,16,19 Despite the progress of instruments and arthroscopic techniques, the treatment of irreparable labral tears remains a great challenge for surgeons. With the importance of the chondrolabral junction being studied and discussed in several basic science studies, 22,23 labral augmentation is preferable in some cases compared with labral reconstruction for the preservation of native innervation and vascularization.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, numerous surgeons have recommended labral reconstruction in these cases because of promising short- to midterm clinical outcomes. 8,15,19,20,25 However, Locks et al 13 proposed labral augmentation for those cases that showed viable remnants of labral tissue. The assumed advantage of labral augmentation is the preservation of native vascularization and innervation of the original chondrolabral junction in comparison with labral reconstruction.…”
mentioning
confidence: 99%
“…These findings support prior research showing promising clinical outcomes for labral allograft reconstruction. 17 - 19 …”
Section: Discussionmentioning
confidence: 99%
“…When the chondrolabral junction is too damaged to be preserved, labral reconstruction is recommended given its promising short- to midterm clinical outcomes. 11,15,19,20,31 Nonetheless, the reported conversion rate of labral reconstruction to total hip arthroplasty (THA) is relatively high, 7,15,20,28,32 which remains a great challenge for the treatment of irreparable labral tears. Moreover, our previous study in a porcine model showed that the slow and insufficient vascular ingrowth within the articular half could cause poor healing of the reconstructed autograft labrum.…”
mentioning
confidence: 99%