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27.01.2021 | Outcomes Research in Orthopedics (O Ayeni, Section Editor) | Ausgabe 1/2021

Current Reviews in Musculoskeletal Medicine 1/2021

Graft Options in Hip Labral Reconstruction

Zeitschrift:
Current Reviews in Musculoskeletal Medicine > Ausgabe 1/2021
Autoren:
Parth Lodhia, Mark O. McConkey, Jordan M. Leith, David R. Maldonado, Matthew J. Brick, Benjamin G. Domb
Wichtige Hinweise
This article is part of the Topical Collection on Outcomes Research in Orthopedics

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Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Abstract

Purpose of Review

The last decade has seen a boom in hip arthroscopy with refined indications. Improved understanding of pathoanatomy and disease progression has allowed for the development of advanced techniques. Labral reconstruction has been developed to substitute a non-functional or absent labrum. It has become an important technique in the armamentarium of high-volume arthroscopic hip surgeons.

Recent Findings

Basic science studies have improved understanding of hip biomechanics in the presence and absence of a labrum with a labral reconstruction allowing for reconstitution of normalcy. Current techniques have shown success with autograft and allograft tissue options. While autograft tissue allows for easy access intra-operatively and maintains patient biology, donor site morbidity is possible. Allografts negate donor site morbidity and allow for an abundance of tissue but can be resource-intensive and face availability concerns. Recent studies support outcomes of labral reconstructions using both autograft and allograft. Promising results have also allowed for performing labral reconstruction in a primary setting.

Summary

Labral reconstruction can be successfully performed using both autograft and allograft. Patient biology should be respected, and native hip biomechanics restored. The literature is plentiful for appropriate surgical decision-making allowing the surgeon with multiple graft choices depending on training, experience, and resources.

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