The aim of this study was to analyze the long-term clinical outcomes of labral reconstruction in patients undergoing femoro-acetabular impingement (FAI) surgery and compare them with labral repair and debridement. This is a single-center, single-surgeon, retrospective match-paired study from a prospectively collected hip preservation database. All patients underwent a hip surgical dislocation for FAI surgery. Eight patients underwent labral reconstruction with the ligamentum teres and were matched on sex, age and body mass index with 24 labral repair and 24 labral debridement (1:3). Failure was defined as conversion to total hip replacement (THR) and patient-reported outcome measures (PROMs) were collected. Mean follow-up was 9.8 years ±2.6 (5.2–13.9). There was a significant improvement in postoperative PROMs in the three groups regarding the WOMAC total, WOMAC function, HOOS-QoL, HOOS-ADL and HOOS-SRA (P < 0.05). There was no statistical difference between the three groups regarding postoperative PROMs and change in PROMs (P > 0.05). A total of 10 hips underwent joint replacement surgery at a mean time of 7.9 ± 3.5 years (2.4–12). There was no statistically significant difference between the three groups regarding the conversion rate to THR (P = 0.64) or time between surgery and conversion to THR (P = 0.15). Compared to a match-pair group of labral repair and debridement, labral reconstruction with ligamentum teres provides similar survival with conversion to a THR as an endpoint, as well as similar improvement in PROMs. Labral treatment can be safely adapted at the nature of the labral lesion with a treatment ‘à la carte’.

中文翻译：

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盂唇治疗技术会影响 FAI 手术的结果吗？盂唇重建与修复和清创的配对研究，随访 10 年

本研究的目的是分析接受股骨髋臼撞击 (FAI) 手术的患者进行盂唇重建的长期临床结果，并将其与盂唇修复和清创进行比较。这是一项来自前瞻性收集的髋关节保存数据库的单中心、单外科医生、回顾性配对研究。所有患者都接受了髋关节脱位手术以进行 FAI 手术。8 名患者接受了圆韧带的盂唇重建，并在性别、年龄和体重指数上进行了匹配，其中 24 例盂唇修复和 24 例盂唇清创 (1:3)。失败被定义为转换为全髋关节置换术（THR）并收集患者报告的结果测量（PROM）。平均随访时间为 9.8 年 ±2.6 (5.2–13.9)。三组患者术后 PROMs 的 WOMAC 总量、WOMAC 功能、HOOS-QoL、HOOS-ADL 和 HOOS-SRA 均有显着改善（P < 0.05）。三组术后PROMs和PROMs变化无统计学差异（P>0.05）。共有 10 个髋关节接受了关节置换手术，平均时间为 7.9 ± 3.5 年 (2.4-12)。三组间 THR 的转换率（P = 0.64）或手术与 THR 转换之间的时间（P = 0.15）之间无统计学差异。与盂唇修复和清创的配对组相比，使用圆韧带重建盂唇以转换为 THR 作为终点提供了相似的存活率，以及 PROM 的相似改善。