Graft selection for acetabular labrum reconstruction under arthroscopy / 中国组织工程研究

ABSTRACT

BACKGROUND: Currently, surgical treatment for acetabular labrum injury includes debridement, repair, refixation and acetabular labrum reconstruction. Labrum reconstruction is a newly developed surgical method, which uses autograft or allograft to repair labrum defect. At present, there are many options for graft repair, and the recent follow-up shows that this method can well restore the structure and function of the labrum, and hascertain advantages over debridement, excision, and repair. However, no study has shown the long-term effect of reconstruction, and which situation and which graft are more suitable. OBJECTIVE: To review graft selection of acetabular labrum reconstruction under arthroscopy. METHODS: PubMed and GeenMedica databases were retrieved for studies on acetabular labrum reconstruction published from 2000 to 2019, especially in the past 10 years. The key words were “labrum, reconstruction, graft, hip, acetabulum”. RESULTS AND CONCLUSION: (1) There are a number of options for graft repair, including autograft (iliotibial band, gracilis and semitendinosus, quadriceps tendon, rectus femoris tendon, joint capsule) and allograft (peroneus brevis, tensor fascia lata). Recent follow-up shows that these grafts can restore labrum structures and hip movement. (2) However, as an emerging surgical procedure, there is currently a lack of long-term follow-up and prospective comparative studies to prove the long-term effects of reconstruction and prove which grafts are more suitable in which conditions. (3) In future studies, we need to compare the medium and long-term efficacy of different grafts for clinical selection. With the development of science and technology, the problem of artificial composite materials has been solved, and will become a more promising alternative.