Ligamentum Teres Reconstruction May Lead to Improvement in Outcomes Following a Secondary Hip Arthroscopy for Symptomatic Microinstability: A Systematic Review
Authors: Shapira J, Yelton MJ, Rosinsky PJ, Maldonado DR, Meghpara MB, Ankem HK, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2021.01.022
Background
Symptomatic hip microinstability may persist after primary hip preservation surgeries. Ligamentum teres (LT) reconstruction has emerged as a surgical option to address this condition.
Methods
Systematic review of outcomes and complications following LT reconstruction in patients with persistent microinstability.
Key Findings
- LT reconstruction can significantly improve patient-reported outcomes and reduce pain.
- A substantial subset of patients required reoperation due to ongoing instability or complications, highlighting procedural risks.
Conclusions
LT reconstruction is a viable salvage procedure for symptomatic hip microinstability refractory to prior interventions, but surgeons should counsel patients on the risk of additional surgeries.
What Does This Mean for Providers
Providers should consider LT reconstruction as an option for patients with persistent hip instability after failed hip preservation surgery. Preoperative counseling must include discussion of the potential for reoperation and careful patient selection to optimize outcomes.