Arthroscopic Hip Surgery Versus Non-Operative Physical Therapy to Repair Acetabular Labral Tears: A Systematic Review

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Koci, Zoie

Date of Issue

2024

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en_US

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Objective: To review current literature regarding arthroscopic hip surgery versus nonoperative physical therapy for treating acetabular tears, comparing recovering time, pain levels, and time it takes to return to sport. Methods: Literature was collected through PubMed, Google Scholar, and CINAHL in the fall of 2023, looking at arthroscopic surgery and nonoperative physical therapy. Advanced searches included acetabular tears in athletes, arthroscopic labral reconstruction, and physical therapy to repair torn labrums. Results: The reviewed literature supported arthroscopic hip surgery in comparison to nonoperative physical therapy to yield better recovery, less pain, and a faster return to sport in individuals with acetabular tears. There were no negative long-term effects from arthroscopic hip surgery. Arthroscopic surgery to repair the labrum also reduced the chances of having the labrum re-tear and decreased the need for open hip surgery. Conclusions: In individuals with acetabular labral tears, arthroscopic hip surgery is more effective and gives better results than nonoperative physical therapy. The surgery did not have any negative impacts on the patients, and yielded quicker recovery time, less pain over a long period of time, and less time out of the sport.

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