{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T18:54:32Z","timestamp":1791572072253,"version":"4.3.4"},"reference-count":49,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To systematically review and compare clinical outcomes and survivorship of labral repair versus labral reconstruction during primary hip arthroscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A search of PubMed, the Cochrane Library, and Embase databases was performed using the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses guidelines. Comparative clinical studies investigating labral repair versus reconstruction during primary hip arthroscopy were included. Outcomes assessed included patient\u2010reported outcomes (PROs), rate of revision hip arthroscopy, and conversion to total hip arthroplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six Level III studies met inclusion criteria (1628 labral repairs, 679 reconstructions). Mean age at surgery ranged from 29.9 to 48.6\u2009years (repair) and 34.6 to 48.1\u2009years (reconstruction). Mean follow\u2010up ranged from 2.0 to 5.8\u2009years. All studies showed significant within\u2010group improvements in PROs with minimal clinically important difference and patient acceptable symptomatic state achievement rates exceeding 70% in both groups, with no significant between\u2010group differences. Two studies found no significant differences in postoperative PROs or magnitude of improvement between groups. Conversely, 2 studies showed greater mean PRO improvement in the reconstruction group, including patients aged \u226540\u2009years in 1 study, while 1 study reported higher adjusted postoperative PROs for labral repair. Four studies showed no significant differences in revision rates, but 1 reported a lower total hip arthroplasty conversion rate after labral repair, and 1 reported a lower failure rate with reconstruction in patients aged \u226540\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both labral repair and reconstruction show significant improvements in PROs at short\u2010 to mid\u2010term follow\u2010up, with comparable achievement of minimal clinically important difference and patient acceptable symptomatic state thresholds. However, evidence suggests that labral repair yields lower rates of conversion to total hip arthroplasty, whereas reconstruction offers better clinical outcomes and lower failure rates in patients aged \u226540. Consequently, the optimal surgical approach should be individualized based on patient age, intraoperative assessment of tissue quality, and overall joint pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, systematic review of Level III studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70625","type":"journal-article","created":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T14:31:55Z","timestamp":1789914715000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Labral Repair and Reconstruction Yield Comparable Patient\u2010Reported Outcomes at Short\u2010 to Mid\u2010Term Follow\u2010Up During Primary Hip Arthroscopy: A Systematic Review"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7474-4021","authenticated-orcid":false,"given":"Kyle P.","family":"Messer","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery &amp; Rehabilitation Texas Tech University Health Sciences Center  Lubbock Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1539-1514","authenticated-orcid":false,"given":"Alicia R.","family":"Pinchok","sequence":"additional","affiliation":[{"name":"Marian University College of Osteopathic Medicine  Indianapolis Indiana U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9587-2093","authenticated-orcid":false,"given":"Evan J.","family":"Hernandez","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery &amp; Rehabilitation Texas Tech University Health Sciences Center  Lubbock Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1334-274X","authenticated-orcid":false,"given":"Jaydeep","family":"Dhillon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Samaritan Health Services  Corvallis Oregon U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2276-7814","authenticated-orcid":false,"given":"Matthew J.","family":"Kraeutler","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery &amp; Rehabilitation Texas Tech University Health Sciences Center  Lubbock Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"2338","DOI":"10.1007\/s00167-015-3555-2","article-title":"Biomechanical evaluation contribution of the acetabular labrum to hip stability","volume":"24","author":"Lertwanich P","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1007\/s00167-014-2874-z","article-title":"The hip fluid seal\u2013Part I: The effect of an acetabular labral tear, repair, resection, and reconstruction on hip fluid pressurization","volume":"22","author":"Philippon MJ","year":"2014","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_7_4_1","doi-asserted-by":"crossref","first-page":"338","DOI":"10.5435\/00124635-201006000-00006","article-title":"The acetabular labrum: Anatomic and functional characteristics and rationale for surgical intervention","volume":"18","author":"Safran MR","year":"2010","journal-title":"J Am Acad Orthop Surg."},{"issue":"8","key":"e_1_2_7_5_1","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1054\/arth.2001.28370","article-title":"The watershed labral lesion: Its relationship to early arthritis of the hip","volume":"16","author":"McCarthy JC","year":"2001","journal-title":"J Arthroplasty."},{"key":"e_1_2_7_6_1","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1302\/0301-620X.95B1.29608","article-title":"Arthroscopic hip preservation surgery: Current concepts and perspective","volume":"95","author":"Bedi A","year":"2013","journal-title":"Bone Jt J."},{"key":"e_1_2_7_7_1","doi-asserted-by":"crossref","first-page":"105465","DOI":"10.1016\/j.jbspin.2022.105465","article-title":"Update on contribution of hip labral tears to hip pain: A narrative review","volume":"90","author":"Berthelot JM","year":"2023","journal-title":"Joint Bone Spine."},{"key":"e_1_2_7_8_1","doi-asserted-by":"crossref","first-page":"2218","DOI":"10.1177\/0363546512457645","article-title":"Investigation of the preservation of the fluid seal effect in the repaired, partially resected, and reconstructed acetabular labrum in a cadaveric hip model","volume":"40","author":"Cadet ER","year":"2012","journal-title":"Am J Sports Med."},{"key":"e_1_2_7_9_1","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1302\/0301-620X.93B8.26065","article-title":"Arthroscopic treatment of labral tears in femoroacetabular impingement: A comparative study of refixation and resection with a minimum 2\u2010year follow\u2010up","volume":"93","author":"Schilders E","year":"2011","journal-title":"J Bone Joint Surg Br."},{"key":"e_1_2_7_10_1","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1007\/s12178-023-09856-w","article-title":"Acetabular labral reconstruction: Review of techniques and outcomes","volume":"16","author":"Rosenthal RM","year":"2023","journal-title":"Curr Rev Musculoskelet Med."},{"key":"e_1_2_7_11_1","doi-asserted-by":"crossref","first-page":"2079","DOI":"10.1177\/0363546518775425","article-title":"Primary circumferential acetabular labral reconstruction: Achieving outcomes similar to primary labral repair despite more challenging patient characteristics","volume":"46","author":"Scanaliato JP","year":"2018","journal-title":"Am J Sports Med."},{"key":"e_1_2_7_12_1","first-page":"704","article-title":"In search of labral restoration function with hip arthroscopy: Outcomes of hip labral reconstruction versus labral repair: A systematic review","volume":"31","author":"Maldonado DR","year":"2021","journal-title":"Hip Int J Clin Exp Res Hip Pathol Ther."},{"key":"e_1_2_7_13_1","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1046\/j.1445-2197.2003.02748.x","article-title":"Methodological index for non\u2010randomized studies (MINORS): Development and validation of a new instrument","volume":"73","author":"Slim K","year":"2003","journal-title":"ANZ J Surg."},{"key":"e_1_2_7_14_1","doi-asserted-by":"crossref","first-page":"3271","DOI":"10.1016\/j.arthro.2018.10.002","article-title":"Research pearls: How do we establish the level of evidence?","volume":"34","author":"Hohmann E","year":"2018","journal-title":"Arthroscopy."},{"key":"e_1_2_7_15_1","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1034\/j.1600-0838.2000.010001002.x","article-title":"Studies of surgical outcome after patellar tendinopathy: Clinical significance of methodological deficiencies and guidelines for future studies. 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