Labral Tears: Repair vs Reconstruction

Labral Tears: Repair vs Reconstruction
Posted on 12/07/2018

Dr. Michael Ellman is a sports medicine specialist at Panorama who specializes in hip arthroscopy and repairing labral tears in the hip. He prides himself on his conservative approach to performing arthroscopic labral repairs to address hip pain.

A patient with a torn labrum can typically obtain pain relief through either a repair or a reconstruction of the labrum, an important ring of cartilage inside the hip socket that provides lubrication and stability to the joint.

In a repair, the patient’s own torn labrum tissue is reattached to the hip socket. With a reconstruction, the torn labrum is removed completely and replaced with non-living tissue from a donor, or from another part of the patient’s body.

“The vast majority of hip arthroscopy surgeons, including myself, are routinely performing labral repairs rather than reconstructions for patients with torn labrums,” said Dr. Ellman of Panorama Orthopedics & Spine Center in Metro Denver.

"The evidence suggests that a repair gives patients an excellent chance at a full and speedy recovery, and provides them with an opportunity to successfully return to sports. If your own labrum is healthy enough to be reattached, that is typically the best option.”

Dr. Ellman also performs reconstructions when necessary, but only when the labrum tissue is not suitable for repair.

“There is a time and a place for reconstruction, there absolutely is, and patients who need it can do very well,” Dr. Ellman said. “But it doesn’t make sense if a person would be better served by retaining their own living tissue. I am able to perform a repair for greater than 95 percent of my patients with labral tears.”

Dr. Ellman said that in addition to being a less extensive and less costly surgery, repairs also might give a patient the best chance of avoiding a future hip replacement.

Repairs have up to a 90 percent success rate, but if a repair fails and the patient still has pain, the backup option would be a labral reconstruction, Ellman said. Unfortunately, if a patient had a reconstruction for a torn labrum, their native labral tissue has been removed so the backup option would likely be a hip replacement.

“I treat a large number of young athletes, and that is the last thing I would want for them at an early age,” Dr. Ellman said.

“There is a benefit to approaching labral tears conservatively, and that is one of the reasons patients do extremely well in my care.”

Dr. Ellman specializes in hip arthroscopy and routinely performs surgery to address labral tears.

Website by SchoolMessenger Presence. © 2022 Intrado Corporation. All rights reserved.

In compliance with Titles VI & VII of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination in Employment Act of 1967, the Americans with Disabilities Act, the Genetic Information Nondiscrimination Act of 2008, and Colorado law, the Douglas County School District RE-1 does not unlawfully discriminate against otherwise qualified students, employees, applicants for employment, or members of the public on the basis of disability, race, creed, color, sex, sexual orientation, marital status, national origin, religion, ancestry, or need for special education services. Discrimination against employees and applicants for employment based on age, genetic information, and conditions related to pregnancy or childbirth is also prohibited in accordance with state and/or federal law. Complaint procedures have been established for students, parents, employees, and members of the public. The School District's Compliance Officer and Title IX Coordinator to address complaints alleging sexual harassment under Title IX is Aaron Henderson, 620 Wilcox Street, Castle Rock, Colorado, [email protected], 720-433-1083.

Outside Agencies

Complaints regarding violations of Title VI, (race, national origin), Title IX (sex, gender), Section 504/ADA (handicap or disability), may be filed directly with the Office for Civil Rights, U.S. Department of Education, 1244 North Speer Blvd., Suite 310, Denver, CO 80204. Complaints regarding violations of Title VII (employment) and the ADEA (prohibiting age discrimination in employment) may be filed directly with the Federal Office of Equal Employment Opportunity Commission, 303 E. 17th Ave., Suite 510, Denver, CO 80202, or the Colorado Civil Rights Commission, 1560 Broadway, Suite 1050, Denver, CO 80202.


Special Education records which have been collected by Douglas County School District related to the identification, evaluation, educational placement, or the provision of special education in the district, must be maintained under state and federal laws for the period of five (5) years after special education services have ended for the student. Special education services end when the student is no longer eligible for services, graduates, or completes his/her educational program at age 21, or moves from the district. This notification is to inform parents/guardians and former students of Douglas County School District's intent to destroy the special education records of students who exited special education services as of June 30, 2016. These records will be destroyed in accordance with state law unless the parent/guardian or eligible (adult) student notifies the school district otherwise. After five years, the records are no longer useful to the district, but may be useful to the parent/guardian or former student in applying for social security benefits, rehabilitation services, college entrance, etc. The parent/guardian or eligible (adult) student may request a copy of the records by requesting the records by email to [email protected]