Purpose

The purpose of this study is to present minimum 10-year patient reported outcomes (PROs) of primary arthroscopic labral reconstruction in the setting of irreparable labral tears in comparison to a control group.

Methods

Data was prospectively collected between 2008 and 2019 and retrospectively reviewed for all patients who underwent primary arthroscopic labral reconstruction with allograft as treatment for femoroacetabular impingement (FAI) and labral tears. Patients were excluded from this study if they had previous ipsilateral hip pathology, dysplasia (LCEA < 18°), preoperative Tonnis osteoarthritis grade > 1, or workers compensation claims. Patients included had pre- and ten-year minimum postoperative data for PROs. Hips that underwent labral reconstruction (RC) were propensity matched to a control group of hips that underwent labral repair (SR) in a 1:3 ratio based on age, sex, BMI, and Acetabular Outerbridge Grade. Patient characteristics and PROs were compared. Rates of meeting clinically relevant thresholds, secondary arthroscopy, and survivorship were also compared.

Results

A total of 22 RC hips (22 patients) hips were matched to 66 SR hips (63 patients). The RC and SR groups had similar preoperative and postoperative scores for all PROs (p > 0.05). The RC group met SCB for NAHS at a lower rate than the SR group (p < 0.05). RC hips underwent secondary arthroscopy at similar rates to the SR group (18.2% vs. 10.6%; p > 0.05) and had similar rates of survivorship rates (90.9% vs. 81.8%, p > 0.05).

Conclusion

Primary labral reconstruction demonstrated favorable outcomes after hip arthroscopy at ten-year minimum follow-up. When compared with a benchmark control group of labral repairs, similar preoperative and postoperative scores for all PROs were observed. Furthermore, both groups achieved clinically meaningful thresholds and underwent secondary surgeries at similar rates.