P202 - A Systematic Review of Short-Term Outcomes for Circumferential and Segmental Hip Labral Reconstruction.
Abstract
Purpose
To synthesize and report patient-reported outcomes scores (PROs) in patients who underwent hip arthroscopy with either segmental or circumferential labral reconstruction in the setting of femoroacetabular impingement (FAI) and labral tears.
Methods and Materials
A systematic review of the PubMed/MEDLINE and EMBASE databases was performed in February 2019 using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Inclusion criteria was Level of Evidence I through IV, English language, patients with FAI who underwent arthroscopic labral reconstruction, and included PROs. Exclusion criteria was labral treatment without labral reconstruction, included patients who underwent open hip surgery, did not define follow-up, reported a follow-up of less than six months, or had overlapping patient populations.
Results
Eleven eligible studies including 406 hips were identified. Seven studies were non-comparative while four were comparative. Nine studies reported outcomes of segmental labral reconstruction (5 Level III and 4 Level IV) with a total of 212 hips, with five studies using autografts, one using iliotibial allograft, one using capsular tissue or rectus femoris autograft, and two using either hamstring autografts or allografts. The mean age was 36.1 years and the mean follow-up reported was 41.9 months, with a conversion to total hip arthroplasty (THA) of 13.0%. Two studies reported outcomes of circumferential labral reconstruction with a total of 194 hips. The mean age for the circumferential group was 40.4 years, and the mean follow-up reported was 26.7 months, with a conversion to THA of 7.7%. All studies reported significant improvement in PROs over the duration of the follow-up.
Conclusion
In the setting of symptomatic FAI and labral tears, patients who underwent hip arthroscopy with labral reconstruction may expect significant improvement in PROs at short-term follow-up either with segmental or circumferential technique. Nevertheless, circumferential labral reconstruction may be associated with a lower conversion rate to THA.
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