2021 Annual Meeting Hip Access Pass-Midterm Outcomes Following Hip Labral Augmentation

Midterm Outcomes Following Hip Labral Augmentation

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Video Summary

This study evaluated labral augmentation using iliotibial band autografts or allografts in revision hip surgeries with inadequate labral tissue. In 88 patients (mean age 32, 5-year follow-up), augmentation improved patient-reported outcomes significantly, with 93% survivorship (defined by avoidance of total hip arthroplasty). However, 14% required revision arthroscopy, typically due to adhesions. A secondary analysis suggested allografts had a higher revision rate from adhesions than autografts, influencing a shift toward autografts. Despite limitations like heterogeneous pathologies and interventions, labral augmentation appears a valuable preservation strategy in revision hip surgery, though fibrosis management remains a clinical focus.

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Dr. Joseph Ruzbarsky | Hip Labrum Showdown

Keywords

labral augmentation

iliotibial band grafts

revision hip surgery

patient-reported outcomes

adhesion-related revisions