Inside Out: A Novel Labral Repair and Advancement Technique
Labral tears are a significant cause of hip pain and are currently the most common indication for hip arthroscopy. Compared with labral debridement, labral repair has significantly better outcomes in terms of both daily activities and athletic pursuits in the setting of femoral acetabular impingemen...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2014-04-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221262871300131X |
| _version_ | 1819002671723446272 |
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| author | Omer Mei-Dan, M.D. Cecilia Pascual-Garrido, M.D. Jonathan A. Kark Mark O. McConkey, M.D. |
| author_facet | Omer Mei-Dan, M.D. Cecilia Pascual-Garrido, M.D. Jonathan A. Kark Mark O. McConkey, M.D. |
| author_sort | Omer Mei-Dan, M.D. |
| collection | DOAJ |
| description | Labral tears are a significant cause of hip pain and are currently the most common indication for hip arthroscopy. Compared with labral debridement, labral repair has significantly better outcomes in terms of both daily activities and athletic pursuits in the setting of femoral acetabular impingement. The techniques described in the literature all use anchor placement on the capsular aspect of the acetabular rim, which can be difficult especially anteriorly, where the rim is very thin, and has the potential for significant complications. Anchor breakage, anchor slippage into the surrounding (capsular side) soft tissue, and penetration of the cartilage surface are among the most common complications. We describe an intra-articular anchor placement technique for labral repair from inside out. This technique, because of the location of the anchor and direction of suture pull, can assist in labral advancement in cases in which the native labrum fails to create a seal because of its location away from the femoral head. |
| first_indexed | 2024-12-20T23:08:49Z |
| format | Article |
| id | doaj.art-1e3b74a662304645b1e83f93f1c968ec |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-20T23:08:49Z |
| publishDate | 2014-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-1e3b74a662304645b1e83f93f1c968ec2022-12-21T19:23:48ZengElsevierArthroscopy Techniques2212-62872014-04-0132e241e244Inside Out: A Novel Labral Repair and Advancement TechniqueOmer Mei-Dan, M.D.0Cecilia Pascual-Garrido, M.D.1Jonathan A. Kark2Mark O. McConkey, M.D.3Sports Medicine and Hip Preservation Service, Department of Orthopedics, University of Colorado, Aurora, Colorado, U.S.A.; Address correspondence to Omer Mei-Dan, M.D., Sports Medicine and Hip Preservation Service, Department of Orthopedics, University of Colorado School of Medicine, 12631 E 17th Ave, Mailstop B202, Academic Office 1, Room 4602, Aurora, CO 80045, U.S.A.Sports Medicine and Hip Preservation Service, Department of Orthopedics, University of Colorado, Aurora, Colorado, U.S.A.School of Medicine, University of Colorado, Aurora, Colorado, U.S.A.Pacific Orthopaedics and Sports Medicine, North Vancouver, British Columbia, CanadaLabral tears are a significant cause of hip pain and are currently the most common indication for hip arthroscopy. Compared with labral debridement, labral repair has significantly better outcomes in terms of both daily activities and athletic pursuits in the setting of femoral acetabular impingement. The techniques described in the literature all use anchor placement on the capsular aspect of the acetabular rim, which can be difficult especially anteriorly, where the rim is very thin, and has the potential for significant complications. Anchor breakage, anchor slippage into the surrounding (capsular side) soft tissue, and penetration of the cartilage surface are among the most common complications. We describe an intra-articular anchor placement technique for labral repair from inside out. This technique, because of the location of the anchor and direction of suture pull, can assist in labral advancement in cases in which the native labrum fails to create a seal because of its location away from the femoral head.http://www.sciencedirect.com/science/article/pii/S221262871300131X |
| spellingShingle | Omer Mei-Dan, M.D. Cecilia Pascual-Garrido, M.D. Jonathan A. Kark Mark O. McConkey, M.D. Inside Out: A Novel Labral Repair and Advancement Technique Arthroscopy Techniques |
| title | Inside Out: A Novel Labral Repair and Advancement Technique |
| title_full | Inside Out: A Novel Labral Repair and Advancement Technique |
| title_fullStr | Inside Out: A Novel Labral Repair and Advancement Technique |
| title_full_unstemmed | Inside Out: A Novel Labral Repair and Advancement Technique |
| title_short | Inside Out: A Novel Labral Repair and Advancement Technique |
| title_sort | inside out a novel labral repair and advancement technique |
| url | http://www.sciencedirect.com/science/article/pii/S221262871300131X |
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