Work

Labral reconstruction for irreparable labral tears in adolescents and young adults: positive functional improvement and high survivorship at 5-year follow-up

Year: 2026

Type: article

Abstract: Report minimum 5-year outcomes of adolescents and young adults undergoing hip arthroscopy with labral reconstruction with a secondary comparison of these results to a control group of adolescents and young adults undergoing labral repair. Data were prospectively collected from 2011 to 2020. Patients under 22 years old who underwent labral reconstruction for femoroacetabular impingement and had preoperative and minimum 5-year follow-up patient-reported outcomes (PROs) for the modified Harris Hip Score, Non-Arthritic Hip Score, Hip Outcome Score-Sport-Specific Subscale, and Visual Analog Scale for pain were included. Rates of achieving clinically relevant thresholds, revision arthroscopy, and conversion to total hip arthroplasty were included in the analysis. Patients were propensity matched 1:1 to a labral repair control cohort by age, sex, body mass index, surgery type (primary or revision), preoperative Tönnis grade, and capsular treatment. Twenty-four reconstruction patients (10 primary, 14 revision) were matched to 24 controls. The mean age was 19.35 ± 2.10 years (range: 15.5–21.97). Significant improvement was observed in all evaluated PROs at minimum 5-year follow up (P < .05). Two patients (8.3%) underwent secondary arthroscopy, and arthroplasty-free survivorship was 95.8%. Compared with controls, postoperative PROs, magnitude of improvement, and rates of secondary surgery were similar. Labral reconstruction is a viable treatment option for adolescents and young adults with irreparable labral tears, providing durable functional improvement and high mid-term survivorship comparable to propensity-matched labral repair.

Source: Journal of Hip Preservation Surgery

DOI: 10.1093/jhps/hnag026