Acetabular Labral Reconstruction: Review of Techniques and Outcomes

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Philippon MJ, Arner JW, Crawford MD, Bolia IK, Briggs KK. Acetabular labral reconstruction with iliotibial band autograft: outcome and survivorship at a minimum 10-year follow-up. J Bone Joint Surg Am. 2020;102(18):1581-1587. https://doi.org/10.2106/JBJS.19.01499. Outcomes study finding that acetabular labral reconstruction, using iliotibial band autograft, is a highly durable procedure, with favorable outcomes at a minimum 10-year follow-up.

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Maldonado DR, Kyin C, Chen SL, et al. In search of labral restoration function with hip arthroscopy: outcomes of hip labral reconstruction versus labral repair: a systematic review. Hip Int. 2021;31(6):704-713. https://doi.org/10.1177/1120700020965162Systematic review finding that, in the setting of FAI and labral tears, both labral reconstruction and labral repair showed significant improvement in short term PROs.

Maldonado DR, Kyin C, Shapira J, Meghpara MB, Rosinsky PJ, Lall AC, Domb BG. Comparable minimum 2-year patient-reported outcome scores between circumferential and segmental labral reconstruction for the management of irreparable labral tear and femoroacetabular impingement syndrome in the primary setting: a propensity-matched study. Arthroscopy. 2022;38(2):335-348. https://doi.org/10.1016/j.arthro.2021.04.037. Propensity-matched retrospective study finding that both circumferential and segmental labral reconstruction have comparable clinical outcomes at 2 years.

Orner CA, Patel UJ, Jones CMC, Giordano BD. Segmental and circumferential acetabular labral reconstruction have comparable outcomes in the treatment of irreparable or unsalvageable labral pathology: a systematic review. Arthroscopy. 2022;38(4):1341-1350. https://doi.org/10.1016/j.arthro.2021.10.016. Systematic review finding that both segmental and circumferential labral reconstructions have comparable clinical outcomes in the treatment of unsalvageable labral pathology.

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