ReviewArthroscopy, sports medicine, and rehabilitation2021
Repair versus Debridement for Acetabular Labral Tears-A Systematic Review.
Review in Arthroscopy, sports medicine, and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed, 27 citations in OpenAlex.
- Graft Height and Labral Integrity as Key Determinants of Suction Seal Restoration in Hip Labral Augmentation: Findings From an Ovine Model.Orthopaedic journal of sports medicine · 2026Article
- Marked Decline in Revision Rate Over Time After Hip Arthroscopy for Femoroacetabular Impingement Syndrome.Orthopaedic journal of sports medicine · 2025Article
- Female Patient Representation Is Acceptable in Studies Regarding Hip Arthroscopy With Labral Repair Yet Deficient in Key Study Design and Sport-Specific Features.Arthroscopy, sports medicine, and rehabilitation · 2025Review
- Labral size measured on preoperative magnetic resonance imaging not predictive of the need for labral reconstruction in patients undergoing primary hip arthroscopy.Journal of hip preservation surgery · 2025Article
- Preoperative quantitative imaging use in predicting intraoperative decision for hip labral repair versus reconstruction.Journal of hip preservation surgery · 2024Article
- Midterm results after arthroscopic femoral neck osteoplasty combined with labral debridement for cam type femoroacetabular impingement in active adults.Journal of orthopaedic surgery and research · 2023Article
- What the papers say.Journal of hip preservation surgery · 2021Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to systematically review the evidence in the literature to ascertain whether acetabular labral repair (ALR) or debridement (ALD) resulted in superior patient outcomes.
methodsThe systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Peer-reviewed studies comparing ALR and ALD published in English with full text available were included. Patients undergoing both open and arthroscopic surgery in randomized controlled trials, prospective cohort studies, retrospective cohort studies, and case-control studies were included. Studies were quantified for methodological quality using the MINORS criteria. Clinical outcomes were compared, with qualitative analysis, and quantitative analyses were performed using GraphPad Prism version 7. A
resultsThere were 8 studies included (level of evidence [LOE] I = 1; LOE II = 2; LOE III = 5). The 7 studies compared 364 patients (369 hips) with ALR to 318 patients (329 hips) with ALD, with a mean follow-up time ranging between 32-120 months. Five studies found significantly improved patient reported outcomes with ALR (Harris Hip Score, Merle d'Aubigné, Pain, SF-12). Several studies compared the outcomes after ALR and ALD and found statistical significance in all investigated metrics in favor of ALR. One study found a significant improvement in abduction but no other study found any difference in range of motion. No study found any difference in complication rate, revision rate or conversion to total hip arthroplasty. Although, 2 studies found ALR reduced the rate of osteoarthritic progression.
conclusionCurrent literature suggests that acetabular labral repair may result in superior patient reported outcomes. However, there appears to be no significant difference in the rate of progression to total hip arthroplasty at up to 10-year follow-up. LEVEL OF EVIDENCE: Level III, systematic review of Level I, II, and III studies.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.