Labral reconstruction for irreparable labral tears in adolescents and young adults: positive functional improvement and high survivorship at 5-year follow-up
Hip arthroscopy is a common surgery to diagnose and treat various hip pathologies, including femoroacetabular impingement (FAI) and labral pathology. The utilization of hip arthroscopy has been shown to be a benefit for patients in terms of outcomes, improved function, satisfaction, and return to play for athletes [1–4]. Various approaches have been described to access the hip joint arthroscopically. These include the central compartment (CC) first, peripheral compartment (PC) first, and extra-articular first approaches [5–8].
Historically, the most common hip arthroscopy approach has been the CC first technique with subsequent capsular management consisting of a capsulotomy to fully access and visualize the joint space. After CC work is complete, the PC of the hip joint is then entered to allow for treatments in this space followed by capsular closure. This technique has been shown to be effective and reproducible, with good long-term results [9]. However, the CC first technique most notably carries the risk of iatrogenic damage to articular cartilage and the acetabular labrum with CC hip joint entry because this step of the procedure is performed under fluoroscopic guidance only [10]. Furthermore, the CC first approach with capsulotomy has been associated with hip instability and dislocation post-operatively related to capsular management [11].
