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.

Maldonado, David R · Arthroscopy · 2025

editorial · Level V

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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.

Medical subject headings

Anatomy