Can a labrum repair fail?
Conclusion: Failed SLAP repair is often multifactorial and a thorough workup is needed. Combined biceps tenodesis and SLAP repair can cause pain, stiffness, and dysfunction which can be successfully treated with arthroscopic superior capsular release.
Can hip labrum surgery fail?
While the reasons leading to failed hip arthroscopy are multifactorial, patient selection, surgical technique and rehabilitation all play a role. Patients with failed hip arthroscopy should undergo a thorough history and physical examination, as well as indicated imaging.
Can a hip labrum be repaired twice?
The success rate for labral tear hip surgery is high in most cases, however, depending on a variety of factors and the cause of the labral injury, a repeat procedure may be necessary after the primary surgery. One study found that 17% of patients required a second surgery.
What can go wrong with hip arthroscopy?
Injuries Secondary to Traction The most commonly cited complication following hip arthroscopy is a distraction-type injury, occurring in up to 7% of the cases23,24. These often present as neurapraxias of the femoral, sciatic, or peroneal nerves due to an excessive traction force or a prolonged traction time25,26.
What is the success rate of labrum surgery?
Large labral tears that are the result of trauma generally need to be fixed in surgery. The success rate of this surgery is quite good, with over 90 percent of patients returning to their normal activities without any further dislocations.
Is labral size predictive of failure with repair in hip arthroscopy?
We hypothesized that labral size would not be a significant risk factor for failure after hip arthroscopy. This multicenter study was institutional review board approved. We conducted a retrospective database review to identify all patients who underwent hip arthroscopy between July 2009 and April 2015.
Can a hip arthroscopy fail?
Background: Despite the successes of hip arthroscopy, clinical failures do occur, and identifying risk factors for failure may facilitate refinement of surgical indications and treatment. Knowledge regarding the reasons for treatment failures may also improve surgical decision making.
What is the efficacy of labral reconstruction in the treatment of FAI?
Labral reconstruction, even in the context of severe chondral damage, has shown favorable results. In the setting of primary arthroscopic for FAI syndrome, irreparable labral tears and acetabular chondral lesions of Outerbridge III/IV, two groups of matched patients who underwent labral reconstruction versus labral resection were compared.
What is an irreparable labral reconstruction?
Labral reconstruction is performed when the labral tissue is considered non-viable or irreparable . An irreparable labrum is characterized by severe or complete calcification or non-viable tissue that is not amenable for repair [26, 41, 62].
When is a hypoplastic labrum an augmentation necessary?
A hypoplastic labrum may also warrant an augmentation, in which case the diminutive native labrum would similarly be reinforced by the graft tissue [59, 61]. Open in a separate window Fig. 4. Intraoperative arthroscopic left hip image with the patient in the supine position and under traction is shown.
Is selective debridement the best option for labral tear repair?
Labral repair or refixation is currently the gold-standard surgical option when facing labral tears, with clinical mid to long-term data supporting its use. Labral selective debridement has proven to be a valid alternative in selective patients.