2021 AOSSM-AANA Combined Annual Meeting Recordings-Midterm Outcomes Following Hip Labral Augmentation

Video Transcription

Video Summary

The video discusses labral augmentation as a procedure to optimize labral volume and maintain the chondrolabral junction in the hip suction seal mechanism. The study compared augmentation versus labral reconstruction in the revision setting and found no difference in revision rates but higher patient-reported outcome measures with augmentation. The purpose of the current study was to determine patient-reported outcome measures and survivorship of labral augmentation using iliotibial autograft or allograft for labral deficiency with a minimum of three years follow-up. The results showed significant improvement in patient-reported outcome measures and a survivorship rate of 93% at five years, but a relatively high revision surgery rate of 14%. The use of autografts for augmentations has been favored due to lower rates of revision. However, there were limitations in the study, including the heterogeneity of other pathologies and procedures performed, making it challenging to attribute results solely to augmentation. The conclusions suggest that labral augmentation is a valuable option in hip labral pathology when viable native labral fibers are present.

Asset Caption

Joseph Ruzbarsky

Keywords

labral augmentation

hip suction seal mechanism

labral reconstruction

patient-reported outcome measures

revision surgery rate