Table 3.
Indications, Radiographic Findings, and Surgical Treatments a
| Lead Author (Year) | Indications | Radiographic Findings | Surgical Treatment, No. of Hips | Graft Type | |
|---|---|---|---|---|---|
| LCEA | AA | ||||
| Maldonado 29 (2022) | • Failure after 3 mo of nonoperative treatment including rest, physical therapy, NSAIDs, and intra-articular ultrasound-guided injections • Irreparable labral tear • FAIS |
34.5 ± 7.6 [32.2-36.8] | 64.3 ± 10.9 [61-67.7] | • Capsular repair, 16 (39%) • Femoroplasty, 39 (95.1%) • Acetabuloplasty, 40 (97.6%) • Acetabular microfracture, 7 (17.1%) • Femoral head microfracture, 0 (0.0%) • LT debridement, 5 (12.2%) |
Hamstring graft |
| Domb 16 (2019) | • Failure after 3 mo of nonoperative management • Irreparable labral tear • FAI |
NR | — | • Labral reconstruction, 23 (100%) • Capsular repair, 10 (43.5%) • Capsular release, 13 (56.5%) • Acetabuloplasty, 23 (100%) • Femoroplasty, 18 (78.3%) • Acetabular microfracture, 2 (8.7%) • LT debridement, 7 (30.4%) • Iliopsoas fractional lengthening, 12 (52.2%) • Trochanteric bursectomy, 1 (4.3%) |
NR |
| Scanaliato 37 (2022) | • Failure after at least 6 mo of nonoperative treatment • FAI |
33.97 ± 8.2 | 64.12 ± 12.9 | • Cam osteoplasty, 60 (96.8%) • Pincer osteoplasty, 46 (74.2%) • Acetabular chondroplasty, 56 (88.9%) |
Tensor fascia lata allograft |
| Locks 28 (2017) | Labral defects <1 cm in nondysplastic patients | 42 (40-86) | 67 (40-86) | NR | Capsule or indirect head of rectus tendon |
| Philippon 33 (2020) | • Deficient labrum (<5 mm–wide labrum) • If suction seal could not be established during arthroscopic dynamic examination • Irreparable labral tear • Persistent hip pain • Failed physical therapy • FAI |
NR | — | • Cam and pincer decompression, 65 • Cam decompression, 11 • Pincer decompression, 5 • Microfracture, 16 • LT debridement, 60 |
Iliotibial band autograft |
a
Data are reported as mean ± SD (range) or [95% CI] unless otherwise indicated. AA, alpha angle; FAI, femoroacetabular impingement; FAIS, femoroacetabular impingement syndrome; LCEA, lateral center-edge angle; LT, ligamentum teres; NR, not reported; NSAIDs, nonsteroidal anti-inflammatory drugs.