Anatomic Labral Repair in the Hip Using a Knotless Tensionable Suture Anchor

Abstract

To perform a proper labral repair, most surgeons use anchors to secure the labrum to the acetabular bone. We aim to describe a technique for labral repair with a knotless tensionable suture anchor. This technique uses a looped suture configuration, allowing selective tensioning of the repair to maintain the anatomic suction seal of the hip. The use of this technique is easily reproducible and reduces the surgical time compared with previous techniques.

Lateral Epicondylitis Debridement and Repair Using Knotless Suture Anchor

“…Knotless suture anchors have previously been described for use in the shoulder, 11 hip, 12 knee, 13 and elbow 14 . Our technique for the treatment of chronic lateral epicondylitis involves open debridement followed by repair with a knotless bioabsorbable suture anchor.…”

Prospective Analysis of Arthroscopic Hip Anatomic Labral Repair Utilizing Knotless Suture Anchor Technology: The Controlled-Tension Anatomic Technique at Minimum 2-Year Follow-up

“…( Figure 1 ). 71 All patients had their labra repaired using a knotless suture anchor with the controlled-tension anatomic technique. We excluded patients with a lateral center-edge angle (LCEA) <25°, Tönnis grade >1, previous hip conditions (history of slipped capital femoral epiphysis; avascular necrosis; Legg-Calve-Perthes disease; and inflammatory, connective tissue [Ehlers-Danlos syndrome], or neoplastic [pigmented villonodular synovitis] conditions), any previous ipsilateral hip surgery, workers’ compensation claims, or an unwillingness to be a part of research.…”

“…After identification, the torn hip labrum was anatomically repaired with 3.0-mm PEEK Knotless Hip SutureTak suture anchors (Arthrex) in a sequential fashion from anteromedial to posterolateral ( Figure 4 and Supplemental Video). 71 Minimal rim trimming was used to provide a bleeding bone surface for labral repair healing. If needed, acetabuloplasty without labral detachment was performed to correct pincer-type FAIS, and spherical femoroplasty was performed to correct cam-type FAIS.…”

“…More recently, knotless controlled-tension anatomic repair was introduced to overcome potential disadvantages of prior labral repair techniques. 18 , 71 In a 2019 systematic review, Riff et al 63 reported that a shift in hip labral management has occurred. Between 2009 and 2019, they noted that 80% of labral abnormalities were treated with debridement versus 20% with labral repair; however, between 2014 and 2017, this shifted to 72% for labral repair versus 28% for labral debridement.…”

“… 62 The current ongoing study is one of the first to include a large case series with this distinctive technology and the concept of controlled-tension anatomic labral repair. 71 …”