Editorial Commentary: In Cases of Cam Over-resection and Irreparable Hip Labral Tear Requiring Revision, Acetabular Circumferential Labral Reconstruction with Larger Graft Width Is Indicated.

Abstract

Hip arthroscopy technique and innovation has revolutionized the surgical approach to femoroacetabular impingement syndrome (FAIS). Arthroscopic labral reconstruction is the gold-standard treatment for irreparable acetabular labral tears in FAIS surgery, and backed by robust long-term clinical data. However, cam-over-resection has become a prevalent complication, often co-occurring with irreparable labral tears in revision FAIS surgery. Revision, circumferential labral reconstruction, is a promising solution, particularly from a biomechanical perspective, in restoring the suction seal. Larger graft width is indicated in these cases.