Arthroscopic Labral Repair in the Hip: Surgical Technique and Review of the Literature

Kelly, Brian T.; Weiland, Daniel E.; Schenker, Mara L.; Philippon, Marc J.

doi:10.1016/j.arthro.2005.08.013

Cited by 427 publications

(280 citation statements)

References 30 publications

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“…Our study indicates the results of simple labral débridement in the absence of arthritis can be maintained with time. However, these data predate current concepts in the etiology of labral disorders and techniques of labral repair [18,19,22]. These factors are likely to be important, especially in light of poor results in patients with associated arthritis.…”

Section: Discussionmentioning

confidence: 91%

Prospective Analysis of Hip Arthroscopy with 10-year Followup

Byrd¹,

Jones²

2010

Clinical Orthopaedics &Amp; Related Research

302

243

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Arthroscopic surgery of the hip is a wellestablished technique with numerous recognized indications. Despite the well-accepted nature of this procedure, there have been no outcomes studies with extended followup. We investigated the response to hip arthroscopy in a consecutive series of patients with 10 years followup. Since 1993, all patients undergoing hip arthroscopy have been assessed prospectively with a modified Harris hip score preoperatively and then postoperatively at 3, 12, 24, 60, and 120 months. A cohort of 50 patients (52 hips) was identified who had achieved 10-year followup and represent the substance of this study. There was 100% followup. The average age of the patients was 38 years (range, 14-84 years), with 27 males and 23 females. The median improvement was 25 points (preoperative, 56 points; postoperative, 81 points). Fourteen patients were converted to THA and two died. Four patients underwent repeat arthroscopy. There were two complications in one patient.

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Section: Discussionmentioning

confidence: 91%

Prospective Analysis of Hip Arthroscopy with 10-year Followup

Byrd¹,

Jones²

2010

Clinical Orthopaedics &Amp; Related Research

302

243

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“…Although research on clinical outcomes of labral repair continues to show benefits, [15][16][17][18]29,31,32 the best method is yet to be determined. Several techniques reattaching the labrum to the bony acetabulum via various fixation devices have been described (e.g., suture anchors, screw anchors, and extra-articular sutures).…”

Section: Discussionmentioning

confidence: 99%

“…Subsequently, these findings were confirmed [5][6][7] ; several further studies on the causes, diagnosis, and implications of labral tears have been published [8][9][10][11][12][13][14] ; and several techniques for treatment have been described. [15][16][17][18][19][20][21][22][23][24][25] In 2005, Kelly et al 15 created a classification system based on the causes of labral tears: (1) trauma, (2) femoroacetabular impingement, (3) capsular laxity and/or hip hypermobility, (4) dysplasia, and (5) degeneration.…”

mentioning

confidence: 99%

“…28,29 To preserve the labrum, when possible, most surgeons use anchors to secure the labrum to the acetabular bone. 12 The early technique used for labral repair was the simple stitch technique, 15 in which the suture is passed between the labrum and the acetabular rim, and the suture is looped around the labrum. Knots are generally tied on the capsular side of the labrum.…”

mentioning

confidence: 99%

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

Suárez-Ahedo

Martin

Walsh

et al. 2016

Arthroscopy Techniques

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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.

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“…Proper anesthesia with paralysis is required for safe distraction of the hip joint and prevention of complications during hip arthroscopy. We routinely use 2 portals (anterolateral and modified anterior 8,9 ) with a third portaldthe distal midanterior portaldif necessary. After establishment of the portals and capsulotomy, a diagnostic arthroscopy is performed.…”

Section: Surgical Techniquementioning

confidence: 99%

Arthroscopic Decompression of Central Acetabular Impingement With Notchplasty

Gupta

Redmond

Hammarstedt

et al. 2014

Arthroscopy Techniques

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Acetabular notch osteophytes are often encountered during routine diagnostic arthroscopy of the hip. It has been our observation that when notch osteophytes are present, there is often corresponding chondral damage to the anterosuperior femoral head and ligamentum teres degeneration. We propose that removal of the notch osteophyte and decompression of the articulating surface offer an effective method of delaying the progression of arthritis. This article describes in detail the technique used to perform arthroscopic acetabular notchplasty, and a companion video, demonstrating the procedure, is included. Our experience suggests that decompression of the acetabular notch can remove offending structural abnormalities that can potentially cause further chondral damage and may hasten the progression of arthritis.

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Arthroscopic Labral Repair in the Hip: Surgical Technique and Review of the Literature

Cited by 427 publications

References 30 publications

Prospective Analysis of Hip Arthroscopy with 10-year Followup

Prospective Analysis of Hip Arthroscopy with 10-year Followup

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

Arthroscopic Decompression of Central Acetabular Impingement With Notchplasty

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