Surgical Treatment of Labral Tears: Debridement, Repair, Reconstruction

• Published in: Current reviews in musculoskeletal medicine Vol. 12; no. 3; pp. 291 - 299
• Main Authors: Woyski, Dustin, Mather, Richard “Chad”
• Format: Journal Article
• Language: English
• Published: New York Springer US 01-09-2019
• Subjects: Femoroacetabular impingement/labral tears (A Zhang; Femoroacetabular impingement/labral tears (A Zhang, Section Editor); Medicine; Medicine & Public Health; Minimally Invasive Surgery; Orthopedics; Rehabilitation Medicine; Section Editor; Sports Medicine; Surgery; Surgical Orthopedics; Topical Collection on Femoroacetabular Impingement/Labral Tears; Labral reconstruction; Labral augmentation; Hip capsule repair; Hip labral repair
• ISSN: 1935-973X; 1935-9748; 1935-9748
• DOI: 10.1007/s12178-019-09575-1

Purpose of Review
With the rapid growth of hip arthroscopy over the past decade, new treatment paradigms as well as recognition of new disease states have sprung forth. The ability to perform complex arthroscopic procedures of the hip such as labral augmentation and reconstruction is essential for hip arthroscopists in the revision setting, with patient selection and indications for various labral treatments the key driver for improved short- and mid-term clinical outcomes.
Recent Findings
Current techniques have been developed to address disease states where the labrum is either unstable, torn, deficient, or otherwise incompetent. Many early reports focused on the description of these techniques with new literature reporting short- and mid-term outcomes. A few of these have demonstrated improved outcomes with a contemporary arthroscopy with emphasis on capsule preservation and repair.
Summary
Studies have demonstrated that labral repair has improved outcomes over labral debridement, with results of labral reconstruction in a revision approaching those of labral repair. In addition, newer reports have shown significantly improved outcomes and survivorship with capsule repair and therefore should be included in every hip arthroscopy.