![]() ![]() In our practice, labral reconstruction is used as a primary procedure for select patients and is the mainstay of treatment in the setting of revision hip arthroscopy where previous labral treatment has failed. Multiple studies have demonstrated favorable outcomes among both primary and revision reconstruction patients, often despite less favorable patient charateristics. Complete labral reconstruction also minimizes inherently weak junction points between the graft and native labrum and decreases the chances of leaving acetabular and labral pathology unaddressed or undertreated. More recently, complete labral reconstruction techniques have been developed to account for patients with global acetabular overcoverage, as well as extensive labral ossification or damage. Segmental labral reconstruction was first described in 2010 by Philippon et al. In recent years, however, arthroscopic hip labral reconstruction has become an increasingly utilized technique for treating the previously irreparable labrum. As a result, these patients were previously left without suitable arthroscopic treatment options. While refixation allows for restoration of the labrum’s suction seal, it is not always possible to repair severely damaged tissue or segmental defects. ![]() However, with improved understanding of the biomechanical function of the hip labrum, more focus has been directed towards techniques that restore natural joint anatomy. Historically, arthroscopic treatment options for labral tears have included debridement and repair/refixation (for the purposes of this manuscript, we will use these terms interchangeably as the distinction is unclear). With an increasing number of orthopaedic surgeons performing arthroscopic procedures on the hip, techniques for managing labral pathology continue to evolve. ![]()
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