FP3.8 Bigger Tear? No Problem! Tear Size Does Not Affect 10-Year Outcomes After Hip Labral Repair

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ID: 331316
2026
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Abstract
Abstract ICLB03 - The Labral Reconstruction Masterclass: Autografts, Allografts, and Technical Frontiers, Session Room 12 (BMCC Level 3), October 8, 2026, 10:30 - 12:30 Purpose The purpose of this study was to compare patient-reported outcomes and incidence of revision surgery based on tear location, size, and number of anchors placed at minimum 10-year follow-up in patients undergoing hip arthroscopy. Methods A retrospective cohort study was conducted of patients undergoing primary hip arthroscopic labral repair between January 2011 and December 2014 at a single academic institution. Patients with revision procedures, prior ipsilateral hip surgery, labral debridement, or <10-year follow-up were excluded. Tear arc size and number of anchors were recorded from operative reports. Patient-reported outcome measures (PROMs) included modified Harris Hip Score (mHHS), Hip Outcome Score-Activities of Daily Living, Hip Outcome Score-Sports (HOS-Sports), Tegner, Visual Analog Score (VAS), and satisfaction (0-10). Associations between number of anchors and tear size with PROMs were assessed with univariate and multivariate linear regression. Multivariate logistic regression was used to evaluate predictors of reoperation or conversion to total hip arthroplasty (THA). Results Seventy-three hips were included (mean age 36.2±10.8 years; 72.6% female) with mean follow-up 10.9±0.7 years (range: 10.0-13.0). At ≥10 years, mean mHHS was 79.6±17.2, HOS-ADL 83.4±17.1, HOS-Sports 72.8±25.5, Tegner 3.8±1.5, VAS 2.4±2.7 (rest) and 2.7±2.7 (use), and satisfaction 8.5±2.4. Tear arc was not associated with any PROMs on regression analysis. In multivariable analysis, each additional anchor was associated with lower HOS-ADL (β=-5.6, p=0.048) and HOS-Sports (β=-8.5, p=0.044) and higher VAS pain at rest (β=0.8, p=0.048). No association was observed between anchor number or tear arc size and subsequent surgery. Conclusions After 10 years following arthroscopic labral repair, tear arc size was not associated with PROMs or revision/THA risk. Higher anchor number was associated with modestly lower PROMs but did not increase reoperations rates. Repairs of both small and large tears, when appropriately stabilized, demonstrate durable long-term benefit.
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Authors Emmett J. Cleary, Rana Ahmad, Louis S. Kang, Jacob D. Mikula, John Kelly, Adam V. Daniel, Bruce Levy, Aaron John Krych, Mario Hevesi
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Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.024
URL
https://doi.org/10.1093/jhps/hnag043.024
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