Reported Rates of Labral Repair and Reconstruction in Primary Hip Arthroscopy Vary Widely Across Published Studies: A Systematic Review.

Purpose: To perform a systematic review to evaluate the reported proportions of labral repair and reconstruction performed during primary hip arthroscopy. Methods: A systematic review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines by searching PubMed, the Cochrane Library, and Embase to identify studies, published from 2015 to October 2024, on primary hip arthroscopy reporting a number of hips undergoing labral repair versus reconstruction. When labral debridement was performed, these numbers were included as well. The search phrase used was: hip AND arthroscopy AND labral AND repair AND reconstruction. Outcomes reported were the numbers of labral repairs, reconstructions, and debridements in each study. Results: Seven studies (all Level III) met the inclusion criteria with a total of 4,134 hips undergoing primary hip arthroscopy. Mean patient age ranged from 28.4 to 43.7 years, and the overall percentage of male patients ranged from 11.8% to 52.8% across studies. Procedures were carried out by a total of 13 surgeons. The proportion of cases in which labral repair was performed ranged from 25.7% to 86.9% across studies. Overall, 3,184 labral repairs, 902 labral reconstructions, and 48 selective labral debridements were performed. These procedures represented 25.6% to 86.9%, 13.1% to 21.8%, and 0.0% to 5.5% of procedures, respectively. Conclusions: Among studies reporting labral repair and reconstruction during primary hip arthroscopy, the proportion of each procedure performed varies widely. These findings highlight the procedural heterogeneity across surgeons performing hip arthroscopy. Level of Evidence: Level III, systematic review of level III studies.