title: Reconstruction of nonrepairable acetabular labral tears with allografts: mid-term results.
abstract: BACKGROUND
  Many labral tears are nonrepairable. For these cases, labral reconstruction procedures may be considered in order to restore the joint fluid seal and prolong hip longevity.
  
  
  OBJECTIVE
  The aim of this study was to describe the clinical and functional outcomes of a series of cases with nonrepairable labral tears that underwent labral reconstruction with tendon allografts. The hypothesis was that labral reconstruction would provide good clinical outcomes.
  
  
  METHODS
  A cohort of 20 patients with nonrepairable labral tears, which underwent to labral grafting mainly by means of arthroscopic assisted anterior mini-open approach, were included in this study. The study period was comprised between July 2008 and September 2013.
  
  
  RESULTS
  DCS-score resulted in 17 satisfactory results, whereas Nonarthritic Hip Score (NAHS) resulted in mean improvement of 39 points. 1 retrieved allograft demonstrated 8 weeks after implantation new whole revascularisation.
  
  
  CONCLUSIONS
  We concluded that labral reconstruction with tendon allograft provides relief of painful symptoms, and represents a reliable alternative for patients with nonrepairable labral tears that are not yet candidates for a joint replacement procedure.
authors.affiliation: Hip Unit, Department of Orthopaedics, University Hospital Quiron Dexeus, Barcelona - Spain.|Autonomous University of Barcelona, Barcelona - Spain.
authors.forename: Esther
authors.initials: E
authors.lastname: Moya
authors.affiliation: Hip Unit, Department of Orthopaedics, University Hospital Quiron Dexeus, Barcelona - Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Ribas
authors.affiliation: Hip Unit, Department of Orthopaedics, University Hospital Quiron Dexeus, Barcelona - Spain.
authors.forename: Luis
authors.initials: L
authors.lastname: Natera
authors.affiliation: Hip Unit, Department of Orthopaedics, University Hospital Quiron Dexeus, Barcelona - Spain.
authors.forename: Carlomagno
authors.initials: C
authors.lastname: Cardenas
authors.affiliation: Hip Unit, Department of Orthopaedics, University Hospital Quiron Dexeus, Barcelona - Spain.
authors.forename: Vittorio
authors.initials: V
authors.lastname: Bellotti
authors.affiliation: Hip Unit, Department of Orthopaedics, University Hospital Quiron Dexeus, Barcelona - Spain.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Astarita
mesh_terms: D000077:Acetabulum / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D000328:Adult; D064591:Allografts / Q000637:transplantation*; D001182:Arthroscopy / Q000379:methods*; D001707:Biopsy, Needle; D002358:Cartilage, Articular / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D005260:Female; D006085:Graft Survival; D006621:Hip Joint / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007150:Immunohistochemistry; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011379:Prognosis; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D018570:Risk Assessment; D013710:Tendons / Q000637:transplantation; D014057:Tomography, X-Ray Computed / Q000379:methods