Pub Date : 2026-02-02DOI: 10.1177/03635465251401227
Kang Qin, Yichen Xu, Weiqiang Liang
{"title":"The Addition of Remplissage to Arthroscopic Bankart Repair and Effect on Recurrent Instability in Shoulders With Critical Humeral Bone Loss: Letter to the Editor","authors":"Kang Qin, Yichen Xu, Weiqiang Liang","doi":"10.1177/03635465251401227","DOIUrl":"https://doi.org/10.1177/03635465251401227","url":null,"abstract":"","PeriodicalId":517411,"journal":{"name":"The American Journal of Sports Medicine","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-02DOI: 10.1177/03635465251407255
Nicola Maffulli, Filippo Spiezia
{"title":"Outcomes of Revision Versus Primary Repair of Proximal Hamstring Avulsion Injury: Letter to the Editor","authors":"Nicola Maffulli, Filippo Spiezia","doi":"10.1177/03635465251407255","DOIUrl":"https://doi.org/10.1177/03635465251407255","url":null,"abstract":"","PeriodicalId":517411,"journal":{"name":"The American Journal of Sports Medicine","volume":"95 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-02DOI: 10.1177/03635465251407254
Elizabeth G. Walsh, Benjamin G. Domb
{"title":"Clinically Relevant Thresholds in Patient-Reported Outcomes: Do Patients’ Expectations Evolve Over Long-term Follow-up? Response","authors":"Elizabeth G. Walsh, Benjamin G. Domb","doi":"10.1177/03635465251407254","DOIUrl":"https://doi.org/10.1177/03635465251407254","url":null,"abstract":"","PeriodicalId":517411,"journal":{"name":"The American Journal of Sports Medicine","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-02DOI: 10.1177/03635465251407257
Nicolas Lefèvre, Mohamad K. Moussa, Antoine Orso, Eugénie Valentin, Yoann Bohu, Antoine Gerometta, Frederic Khiami, Olivier Grimaud, Alain Meyer, Alexandre Hardy
{"title":"Outcomes of Revision Versus Primary Repair of Proximal Hamstring Avulsion Injury: Response","authors":"Nicolas Lefèvre, Mohamad K. Moussa, Antoine Orso, Eugénie Valentin, Yoann Bohu, Antoine Gerometta, Frederic Khiami, Olivier Grimaud, Alain Meyer, Alexandre Hardy","doi":"10.1177/03635465251407257","DOIUrl":"https://doi.org/10.1177/03635465251407257","url":null,"abstract":"","PeriodicalId":517411,"journal":{"name":"The American Journal of Sports Medicine","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-02DOI: 10.1177/03635465251401229
Fritz Steuer, Ting Cong, Albert Lin
{"title":"The Addition of Remplissage to Arthroscopic Bankart Repair and Effect on Recurrent Instability in Shoulders With Critical Humeral Bone Loss: Response","authors":"Fritz Steuer, Ting Cong, Albert Lin","doi":"10.1177/03635465251401229","DOIUrl":"https://doi.org/10.1177/03635465251401229","url":null,"abstract":"","PeriodicalId":517411,"journal":{"name":"The American Journal of Sports Medicine","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-02DOI: 10.1177/03635465261417180
Adam B. Yanke
{"title":"Cartilage Restoration: We Have Made Progress, Yet So Much Remains Unanswered","authors":"Adam B. Yanke","doi":"10.1177/03635465261417180","DOIUrl":"https://doi.org/10.1177/03635465261417180","url":null,"abstract":"","PeriodicalId":517411,"journal":{"name":"The American Journal of Sports Medicine","volume":"285 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-02DOI: 10.1177/03635465251407256
Periklis Giannakis, Zachary A. Trotzky, Olivia M. Jochl, Jashvant Poeran
{"title":"Clinically Relevant Thresholds in Patient-Reported Outcomes: Do Patients’ Expectations Evolve Over Long-term Follow-up? Letter to the Editor","authors":"Periklis Giannakis, Zachary A. Trotzky, Olivia M. Jochl, Jashvant Poeran","doi":"10.1177/03635465251407256","DOIUrl":"https://doi.org/10.1177/03635465251407256","url":null,"abstract":"","PeriodicalId":517411,"journal":{"name":"The American Journal of Sports Medicine","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 10.1177/03635465251405733
Clayton W Nuelle,Garrett R Jackson,Will Bezold,Benjamin L Smith,James L Cook
BACKGROUNDBiomechanical evidence for adjustable posterior medial meniscal root (PMMR) fixation has shown promising results for meniscal root repair. Adjustable suture anchor (ASA) fixation has yet to be evaluated through the loaded knee range of motion.HYPOTHESISThe ASA PMMR repair would restore meniscal translation similar to the native meniscus and maintain those parameters through the knee flexion arc during cyclical axial loading.STUDY DESIGNControlled laboratory study.METHODSEight cadaveric knees from 6 donors (4 men, 2 women; mean age, 44.9 years) were tested. Each knee was tested for meniscal translation in 3 conditions: intact, posterior root released, and root repair. The repairs were fixed with an ASA device in a Mason-Allen configuration with knotless repair sutures. In each condition, the knees were axially loaded with 30 N through a range of motion to test meniscal excursion, extrusion, and hoop strain at 0°, 30°, 60°, 90°, and 100° of flexion for 10 cycles. Each parameter was compared for statistical significance using repeated-measures analysis of variance (ANOVA) or 1-way ANOVA, followed by Tukey post hoc tests.RESULTSExtrusion was significantly elevated in the PMMR released group compared with the native and repaired conditions at full extension (P = .0008), 30° (P = .007), 60° (P = .0008), 90° (P = .00006), and 100° (P = .0005). Extrusion in the ASA repaired condition was similar to, or less than, the native condition across every position. Meniscal hoop strain in the repaired and intact groups was significantly increased compared with the released group (P = .0009). Meniscal excursion was significantly greater with root release compared with intact and repaired groups at 30° (P = .001), but less in the native condition at 60° (P = .021) and 100° (P = .018).CONCLUSIONPMMR ASA repair resulted in decreased excursion and extrusion compared with the meniscal root tear condition, extrusion, and hoop strain approximated that of native, intact meniscus through axial loading and knee range of motion in a human cadaveric model.CLINICAL RELEVANCEASA PMMR demonstrated meniscal translation similar to that of the native meniscus under loading during knee motion, which could potentially enable more accelerated postsurgical rehabilitation. Future studies may define the clinical significance of healing rates and long-term outcomes.
{"title":"Meniscal Translation Under Loaded Motion After Posterior Horn Medial Meniscal Root Repair: A Cadaveric Biomechanical Evaluation.","authors":"Clayton W Nuelle,Garrett R Jackson,Will Bezold,Benjamin L Smith,James L Cook","doi":"10.1177/03635465251405733","DOIUrl":"https://doi.org/10.1177/03635465251405733","url":null,"abstract":"BACKGROUNDBiomechanical evidence for adjustable posterior medial meniscal root (PMMR) fixation has shown promising results for meniscal root repair. Adjustable suture anchor (ASA) fixation has yet to be evaluated through the loaded knee range of motion.HYPOTHESISThe ASA PMMR repair would restore meniscal translation similar to the native meniscus and maintain those parameters through the knee flexion arc during cyclical axial loading.STUDY DESIGNControlled laboratory study.METHODSEight cadaveric knees from 6 donors (4 men, 2 women; mean age, 44.9 years) were tested. Each knee was tested for meniscal translation in 3 conditions: intact, posterior root released, and root repair. The repairs were fixed with an ASA device in a Mason-Allen configuration with knotless repair sutures. In each condition, the knees were axially loaded with 30 N through a range of motion to test meniscal excursion, extrusion, and hoop strain at 0°, 30°, 60°, 90°, and 100° of flexion for 10 cycles. Each parameter was compared for statistical significance using repeated-measures analysis of variance (ANOVA) or 1-way ANOVA, followed by Tukey post hoc tests.RESULTSExtrusion was significantly elevated in the PMMR released group compared with the native and repaired conditions at full extension (P = .0008), 30° (P = .007), 60° (P = .0008), 90° (P = .00006), and 100° (P = .0005). Extrusion in the ASA repaired condition was similar to, or less than, the native condition across every position. Meniscal hoop strain in the repaired and intact groups was significantly increased compared with the released group (P = .0009). Meniscal excursion was significantly greater with root release compared with intact and repaired groups at 30° (P = .001), but less in the native condition at 60° (P = .021) and 100° (P = .018).CONCLUSIONPMMR ASA repair resulted in decreased excursion and extrusion compared with the meniscal root tear condition, extrusion, and hoop strain approximated that of native, intact meniscus through axial loading and knee range of motion in a human cadaveric model.CLINICAL RELEVANCEASA PMMR demonstrated meniscal translation similar to that of the native meniscus under loading during knee motion, which could potentially enable more accelerated postsurgical rehabilitation. Future studies may define the clinical significance of healing rates and long-term outcomes.","PeriodicalId":517411,"journal":{"name":"The American Journal of Sports Medicine","volume":"2 1","pages":"3635465251405733"},"PeriodicalIF":0.0,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146072982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 10.1177/03635465251400357
Rui W Soares,Ignacio Pasqualini,Khaled A Elmenawi,Shujaa T Khan,Turan Oguz,Cole R Johnson,Matthew E Deren,Michael J Scarcella,Nicolas S Piuzzi
BACKGROUNDTotal knee arthroplasty (TKA) provides pain relief and functional improvement for end-stage knee osteoarthritis patients. As TKA use increases in younger patients, return to sports (RTS) has become a key outcome measure. While RTS rates after TKA are generally high, they vary significantly across studies due to differences in study design, patient populations, and RTS definitions.PURPOSETo determine RTS rates, evaluate return to preoperative sport levels, quantify time to RTS, and identify factors affecting RTS after TKA.STUDY DESIGNCohort study; Level of evidence, 2.METHODSWe analyzed 21,466 primary TKAs performed between 2016 and 2022. Of these, 1782 patients (8.3%) were athletes at baseline, with 1464 (82.2%) completing 1-year follow-up. We recorded demographic characteristics, comorbidities, baseline and 1-year RTS status, time to RTS, athlete type, and patient-reported outcomes. Analysis included descriptive statistics, Cox regression for time to RTS, and logistic regression for RTS-associated factors.RESULTSOf 1464 patients, 782 (53.4%) achieved RTS, while 676 (46.6%) did not; both contact and noncontact sports were included. Among those who returned, 62% resumed their previous sport at the same level, 34.5% at a reduced intensity, and 3.4% switched to a different sport. The median RTS time was 12 weeks, with 90% returning within 27 weeks. Medicaid patients had a delayed RTS compared with those with commercial insurance (hazard ratio [HR], 0.51). Overweight patients returned sooner than normal-weight patients (HR, 1.41). Female patients (odds ratio [OR], 0.76) and Black patients (OR, 2.34) had lower RTS odds, while recreational (OR, 0.06) and competitive athletes (OR, 0.10) had higher RTS odds versus those not participating in athletic activities.CONCLUSIONOver half of athletes returned to sports within 1 year of TKA, most within 27 weeks. RTS rates varied by preoperative competitive level, sex, race, body mass index, and comorbidity burden. These findings can guide patient expectations and shared decision-making regarding post-TKA sports participation. Future research should focus on improving RTS rates in high-risk groups, standardizing RTS criteria, and stratifying outcomes by sport type and impact level to enable more individualized patient recommendations.
{"title":"Return to Sports After Primary Total Knee Arthroplasty: A Prospective Cohort Study of 1782 Patients.","authors":"Rui W Soares,Ignacio Pasqualini,Khaled A Elmenawi,Shujaa T Khan,Turan Oguz,Cole R Johnson,Matthew E Deren,Michael J Scarcella,Nicolas S Piuzzi","doi":"10.1177/03635465251400357","DOIUrl":"https://doi.org/10.1177/03635465251400357","url":null,"abstract":"BACKGROUNDTotal knee arthroplasty (TKA) provides pain relief and functional improvement for end-stage knee osteoarthritis patients. As TKA use increases in younger patients, return to sports (RTS) has become a key outcome measure. While RTS rates after TKA are generally high, they vary significantly across studies due to differences in study design, patient populations, and RTS definitions.PURPOSETo determine RTS rates, evaluate return to preoperative sport levels, quantify time to RTS, and identify factors affecting RTS after TKA.STUDY DESIGNCohort study; Level of evidence, 2.METHODSWe analyzed 21,466 primary TKAs performed between 2016 and 2022. Of these, 1782 patients (8.3%) were athletes at baseline, with 1464 (82.2%) completing 1-year follow-up. We recorded demographic characteristics, comorbidities, baseline and 1-year RTS status, time to RTS, athlete type, and patient-reported outcomes. Analysis included descriptive statistics, Cox regression for time to RTS, and logistic regression for RTS-associated factors.RESULTSOf 1464 patients, 782 (53.4%) achieved RTS, while 676 (46.6%) did not; both contact and noncontact sports were included. Among those who returned, 62% resumed their previous sport at the same level, 34.5% at a reduced intensity, and 3.4% switched to a different sport. The median RTS time was 12 weeks, with 90% returning within 27 weeks. Medicaid patients had a delayed RTS compared with those with commercial insurance (hazard ratio [HR], 0.51). Overweight patients returned sooner than normal-weight patients (HR, 1.41). Female patients (odds ratio [OR], 0.76) and Black patients (OR, 2.34) had lower RTS odds, while recreational (OR, 0.06) and competitive athletes (OR, 0.10) had higher RTS odds versus those not participating in athletic activities.CONCLUSIONOver half of athletes returned to sports within 1 year of TKA, most within 27 weeks. RTS rates varied by preoperative competitive level, sex, race, body mass index, and comorbidity burden. These findings can guide patient expectations and shared decision-making regarding post-TKA sports participation. Future research should focus on improving RTS rates in high-risk groups, standardizing RTS criteria, and stratifying outcomes by sport type and impact level to enable more individualized patient recommendations.","PeriodicalId":517411,"journal":{"name":"The American Journal of Sports Medicine","volume":"88 1","pages":"3635465251400357"},"PeriodicalIF":0.0,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 10.1177/03635465251408832
Mark Kurapatti,Matthew Yuro,Brian S Tao,Matthew D Ramey,Srivatsan Swaminathan,Auston R Locke,Niklas H Koehne,Robert L Parisien
BACKGROUNDThere is currently no consensus regarding the superiority of allografts or autografts in labral hip reconstruction.PURPOSETo compare patient outcomes after arthroscopic labral reconstruction using autografts versus allografts.STUDY DESIGNMeta-analysis; Level of evidence, 4.METHODSA systematic review and meta-analysis were conducted according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The PubMed, Embase, and Scopus databases were queried on February 2, 2025. Original outcome studies on arthroscopic hip labral reconstruction with clearly delineated graft type and a mean follow-up of at least 1 year were included. Studies with a mean follow-up <1 year, nonarthroscopic labral reconstruction, or unclear graft-specific outcomes were excluded. Data were extracted from 30 studies (1968 hips: 1071 autograft, 897 allograft). A random-effects meta-analysis was performed using RStudio to assess patient-reported outcomes, revision surgery, and complication rates.RESULTSThere were no significant differences in most patient-reported outcomes: Harris Hip Score (allograft: 27.5 vs autograft: 24.6; P = .17), Hip Outcome Score (HOS) Activities of Daily Living (20.9 vs 22.8; P = .59), HOS Sports (33.2 vs 34.0; P = .65), SF-12 Physical score (10.0 vs 7.0; P = .19), and visual analog scale pain score (-3.5 vs -4.2; P = .34). The SF-12 Mental score improvement was significantly higher in the allograft group (5.2 vs 0.0; P = .03), although sample size was limited. Complication rates approached significance favoring allografts (<1% vs 3%; P = .06). No significant differences were observed in revision arthroscopy (1% allograft vs 5% autograft; P = .07) or conversion to total hip arthroplasty (3% vs 7%; P = .20). Considerable heterogeneity existed in surgical technique and concomitant procedures.CONCLUSIONLabral reconstruction using autograft or allograft tissue produces comparable improvements in most functional and pain outcomes. Use of allograft was associated with significantly higher mental health improvements, and further investigation is warranted to understand if it may carry a lower complication burden.
背景：目前对于同种异体移植和自体移植在唇侧髋关节重建中的优势还没有达成共识。目的比较关节镜下自体移植物与同种异体移植物重建患者的结果。研究DESIGNMeta-analysis;证据等级，4级。方法根据PRISMA（首选系统评价和荟萃分析报告项目）指南进行系统评价和荟萃分析。在2025年2月2日查询了PubMed、Embase和Scopus数据库。纳入了关节镜下髋关节唇部重建的原始结果研究，明确描述了移植物类型，平均随访至少1年。排除了平均随访<1年、非关节镜下唇部重建或移植物特异性结果不明确的研究。数据来自30项研究（1968年髋关节：1071例自体移植物，897例异体移植物）。使用RStudio进行随机效应荟萃分析，以评估患者报告的结果、翻修手术和并发症发生率。结果：Harris髋关节评分（同种异体移植：27.5 vs自体移植：24.6;P = 0.17）、髋关节结局评分（HOS）日常生活活动（20.9 vs 22.8; P = 0.59）、HOS运动（33.2 vs 34.0; P = 0.65）、SF-12身体评分（10.0 vs 7.0; P = 0.19）和视觉模拟量表疼痛评分（-3.5 vs -4.2; P = 0.34）均无显著差异。同种异体移植组的SF-12心理评分改善明显更高（5.2 vs 0.0; P = .03），尽管样本量有限。同种异体移植的并发症发生率接近显著性（<1% vs 3%; P = 0.06）。在翻修性关节镜检查（1%异体移植物vs 5%自体移植物，P = 0.07）或全髋关节置换术（3% vs 7%, P = 0.20）中未观察到显著差异。在手术技术和伴随手术中存在相当大的异质性。结论采用自体或同种异体组织进行下唇重建在大多数功能和疼痛预后方面都有相当的改善。同种异体移植物的使用显著提高了心理健康的改善，需要进一步的研究来了解它是否会降低并发症的负担。
{"title":"Comparative Outcomes of Autograft and Allograft in Hip Labral Reconstruction: A Systematic Review and Meta-analysis.","authors":"Mark Kurapatti,Matthew Yuro,Brian S Tao,Matthew D Ramey,Srivatsan Swaminathan,Auston R Locke,Niklas H Koehne,Robert L Parisien","doi":"10.1177/03635465251408832","DOIUrl":"https://doi.org/10.1177/03635465251408832","url":null,"abstract":"BACKGROUNDThere is currently no consensus regarding the superiority of allografts or autografts in labral hip reconstruction.PURPOSETo compare patient outcomes after arthroscopic labral reconstruction using autografts versus allografts.STUDY DESIGNMeta-analysis; Level of evidence, 4.METHODSA systematic review and meta-analysis were conducted according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The PubMed, Embase, and Scopus databases were queried on February 2, 2025. Original outcome studies on arthroscopic hip labral reconstruction with clearly delineated graft type and a mean follow-up of at least 1 year were included. Studies with a mean follow-up <1 year, nonarthroscopic labral reconstruction, or unclear graft-specific outcomes were excluded. Data were extracted from 30 studies (1968 hips: 1071 autograft, 897 allograft). A random-effects meta-analysis was performed using RStudio to assess patient-reported outcomes, revision surgery, and complication rates.RESULTSThere were no significant differences in most patient-reported outcomes: Harris Hip Score (allograft: 27.5 vs autograft: 24.6; P = .17), Hip Outcome Score (HOS) Activities of Daily Living (20.9 vs 22.8; P = .59), HOS Sports (33.2 vs 34.0; P = .65), SF-12 Physical score (10.0 vs 7.0; P = .19), and visual analog scale pain score (-3.5 vs -4.2; P = .34). The SF-12 Mental score improvement was significantly higher in the allograft group (5.2 vs 0.0; P = .03), although sample size was limited. Complication rates approached significance favoring allografts (<1% vs 3%; P = .06). No significant differences were observed in revision arthroscopy (1% allograft vs 5% autograft; P = .07) or conversion to total hip arthroplasty (3% vs 7%; P = .20). Considerable heterogeneity existed in surgical technique and concomitant procedures.CONCLUSIONLabral reconstruction using autograft or allograft tissue produces comparable improvements in most functional and pain outcomes. Use of allograft was associated with significantly higher mental health improvements, and further investigation is warranted to understand if it may carry a lower complication burden.","PeriodicalId":517411,"journal":{"name":"The American Journal of Sports Medicine","volume":"296 1","pages":"3635465251408832"},"PeriodicalIF":0.0,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146070007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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