Arthroscopic surgical treatment of complex femoroacetabular impingement with massive labral calcification and gracilis autograft reconstruction: a case report and literature review.

This study reports a rare case of femoroacetabular impingement (FAI) combined with massive acetabular labrum calcification. The patient was a 48-year-old female sports enthusiast who had experienced right hip pain for over six months. Despite conservative treatment aimed at reducing swelling and alleviating pain, she still suffered from hip pain and restricted movement. She underwent right hip arthroscopy under general anesthesia, including removal of the calcified lesion of the acetabular labrum, reconstruction of the labrum with autologous gracilis tendon, and femoral head-neck reshaping. At the nine-month follow-up, the patient's hip function had improved significantly, with no complications such as nerve or vascular injury, wound infection, or heterotopic ossification. This case suggests that hip arthroscopy with labral reconstruction may represent a viable treatment option that may contribute to improved symptoms and function in patients with FAI combined with large labral calcifications; it may facilitate return to sports and enhance quality of life, potentially offering a therapeutic strategy for the clinical management of such conditions.