Hip Surgery Labral Tear Recovery? New Study Raises Questions…

By /

Hip Surgery Labral Tear Recovery

Surgery for a hip labrum tear has become incredibly common in the last 5 years. It seems like every patient with a hip labral tear gets arthroscopic surgery to “repair” the tear or to cut out the torn pieces. The hip labrum is the lip on the socket into which the ball of the femur fits and helps to stabilize the joint. However, what does the research say about hip surgery labral tear recovery? Does this surgery work? A new study out of Mayo clinic suggests the benefits of the surgery are very over rated.

The study authors operated on 59 hips in 57 patients. Of note, a staggering 45% of the patients had poor results by an average of five years after the surgery! In particular, patients who had “chondroplasty” fared worse than other patients. What’s that? This is when the surgeon debrides the cartilage (“cleans it up”). Why would this make things worse? Cutting out cartilage reduces the amount of cushion in the joint. Of the 45%, 25% ended up needing a second surgery and 20% reported they had an abnormal hip after the procedure.

Not wanting to throw a huge new trend in orthopedics under the bus, the authors state that patients who had “untreated” hip impingement did worse (the implication being that this needed to be treated, but wasn’t). However, I reported on another recent study that showed that this “impingement” was really just a reaction of the joint to protect the cartilage, so why would we want to remove these bone spurs causing “impingement” if they’re protecting the hip joint?

The upshot? According to this Mayo Clinic study, hip arthroscopy to treat a labral tear has some pretty bad outcomes. This is generally consistent with our experience. For example, check out our case series of patients with chronic hip arthroscopy portal pain. In addition, other studies have shown no relationship between a hip labral tear as seen on MRI and pain.  So, why are we operating on all of these hips again?

Learn about Regenexx procedures for hip conditions.

If you have questions or comments about this blog post, please email us at [email protected]

NOTE: This blog post provides general information to help the reader better understand regenerative medicine, musculoskeletal health, and related subjects. All content provided in this blog, website, or any linked materials, including text, graphics, images, patient profiles, outcomes, and information, are not intended and should not be considered or used as a substitute for medical advice, diagnosis, or treatment. Please always consult with a professional and certified healthcare provider to discuss if a treatment is right for you.

Get Blog Updates by Email

By submitting the form, you are agreeing that you read and consent to our Privacy Policy. We may also contact you via email, phone, and other electronic means to communicate information about our products and services. We do not sell, or share your information to third party vendors.

Category: Hip, Latest News
Copyright © Regenexx 2021. All rights reserved.

CONTACT INFORMATION

Address

9035 Wadsworth Pkwy #1000
Westminster, CO 80021

Phone

*DISCLAIMER: Like all medical procedures, Regenexx® Procedures have a success and failure rate. Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else.

Providers listed on the Regenexx website are for informational purposes only and are not a recommendation from Regenexx for a specific provider or a guarantee of the outcome of any treatment you receive.

LinkedIn
Email
TO TOP