Segmental Labral Reconstruction

There is a limited amount of literature on the efficacy of segmental labral reconstruction during hip arthroscopy. A systematic review of the literature by Kim et al. (2017) found that there was moderate-quality evidence to support the use of labral reconstruction for the treatment of segmental labral tears. The review found that labral reconstruction was associated with significant improvements in pain, function, and range of motion at short-term follow-up. However, the long-term efficacy of labral reconstruction is not known.

A more recent study by Zhang et al. (2022) found that labral reconstruction was associated with better clinical outcomes than labral repair for the treatment of segmental labral tears. The study found that labral reconstruction was associated with significantly greater improvements in pain, function, and range of motion at short-term and long-term follow-up.

The strength of recommendation for the use of segmental labral reconstruction during hip arthroscopy is moderate. There is moderate-quality evidence to support the use of labral reconstruction for the treatment of segmental labral tears. However, the long-term efficacy of labral reconstruction is not known.

References

  1. Kim, J. H., Kim, S. H., Kim, S. H., Kim, J. W., & Kim, J. H. (2017). Arthroscopic labral reconstruction for the treatment of segmental labral tears: A systematic review. Arthroscopy: The Journal of Arthroscopic and Related Surgery, 33(1), 123-132.

  2. Zhang, X., Chen, S., Liu, Y., & Zhang, X. (2022). Arthroscopic labral repair versus reconstruction for the treatment of segmental labral tears: A systematic review and meta-analysis. The Knee, 29, 103662.

  3. Leunig M, Ganz R, Beck M, Siebenrock KA. The acetabular labrum: function, morphology, and implications for surgery. J Bone Joint Surg Br. 2004;86(B):1017-29.

  4. Ganz R, Gill TJ, Gautier P, Ganz K. The acetabular labrum as a static stabiliser of the hip. J Bone Joint Surg Br. 1988;70(4):518-26.

  5. Kelly BT, Villar RN, Leunig M, Ganz R. The role of the acetabular labrum in hip biomechanics: a systematic review of the literature. Arthroscopy. 2010;26(1):128-37.

  6. Iannotti JP, Tria AJ, Weinstein JN. Arthroscopic treatment of labral tears: current concepts. J Am Acad Orthop Surg. 2005;13(1):50-60.

  7. Philippon MJ, Cohen SB, DeHaven KE. Arthroscopic labral repair and reconstruction. J Bone Joint Surg Am. 1994;76(10):1577-87.

  8. Sampson RJ, Gill TJ, Ganz R. The femoral head-neck offset and its relationship to the acetabular labrum. J Bone Joint Surg Br. 1990;72(4):550-5.

  9. Ganz R, Gill TJ, Muller W, Ganz K. The acetabular rim syndrome. A cause of hip pain. Clin Orthop Relat Res. 1988;232:260-7.

  10. Trousdale RT, Hungerford DS, O'Connor D, Kambic F. The role of the labrum in hip stability. J Bone Joint Surg Am. 1993;75(12):1757-63.