In recent years, hip arthroscopy has become an essential treatment for femoroacetabular impingement (FAI), a condition that causes joint pain and limits mobility. While labral repair is often the preferred option, labral reconstruction is also considered when the labrum is absent or extensively damaged. A recent study by Dr. Okoroha’s colleagues compares two-year patient-reported outcomes for both procedures, examining recovery metrics and rates of additional surgeries. Understanding these differences provides valuable insights for patients and practitioners in choosing the most effective approach.
Study Highlights
Patient Demographics: This study analyzed data from 1,148 patients aged 18 to 80 with FAI who underwent primary labral repair or reconstruction. A total of 150 patients received labral reconstruction, while 998 underwent labral repair.
Follow-Up: The median follow-up time was 5.3 years for labral reconstruction patients and 5.8 years for labral repair patients. Both groups were monitored for patient-reported outcomes, complications, and any additional surgeries.
Positive Outcomes: Labral repair resulted in better patient-reported outcomes, with significant improvements in daily activity scores (HOS-ADL) and reduced hip pain (WOMAC scores). Patients undergoing repair were also less likely to require conversion to total hip arthroplasty (THA), with only 7% needing further surgery compared to 20% in the reconstruction group.
Conclusion
This study supports labral repair as the more favorable option in primary hip arthroscopy for FAI, delivering improved functional outcomes and a lower likelihood of needing additional surgery compared to labral reconstruction. These findings suggest that labral reconstruction should be reserved for cases of severe labral damage or as a secondary procedure following previous hip surgery. By tailoring surgical approaches to individual patient needs, healthcare providers can help ensure better recovery outcomes and long-term joint health.
We are committed to providing personalized care and innovative treatments to help athletes reach their full potential. To learn more about hip impingement, FAI, hip labral tears, CAM and Pincer deformities, schedule a consultation with Dr. Kelechi Okoroha today. Seeing patients from Minneapolis, St. Paul, Plymouth, Edina, Minnetonka, Rochester, and Minnesota ensures that patients receive specialized care aimed at maximizing their athletic performance and long-term hip health.
