Advances in Hip Arthroscopy (AANA20)-Indications for Labral Reconstruction _i_What is the Evidence___i

Indications for Labral Reconstruction _i_What is the Evidence___i_-Dr. Marc J. Philippon, M.D.

Video Transcription

Video Summary

The presentation discusses hip labral reconstruction indications and evidence, evolving from simple grafts to complex cases with degeneration and adhesions. Biomechanical studies support reconstruction, showing improved hip fluid seal and function. Outcomes reveal that augmentation, which preserves native labral tissue, generally yields better results and patient satisfaction compared to full reconstruction. Return-to-sport rates are favorable, especially in athletes. Long-term data indicate better survivorship in younger patients and those with preserved joint space. Proper patient selection and dynamic analysis during surgery are crucial. Overall, labral reconstruction is effective for irreparable tears, with augmentation preferred when possible to optimize outcomes and reduce revisions.

Keywords

hip labral reconstruction

biomechanical studies

augmentation vs reconstruction

return-to-sport outcomes

patient selection criteria