Technical Pearls for Arthroscopic Labral Augmentation of the Hip

Abstract

Our recent understanding of the importance of the acetabular labral suction seal has placed preserving labral integrity as a guiding principle in hip preservation surgery. In cases with a hypoplastic labrum and intact chondrolabral junction, labral augmentation presents as a viable alternative and an often preferred treatment option over labral reconstruction. At this time, there are few studies that have described the technical pearls of performing labral augmentation of the hip. In this technique guide, we describe, in detail, the kite technique for the introduction, control, and acetabular fixation of a hip labral augmentation graft. Comparable to flying a kite with 2 fly lines and to the previously described kite technique for hip labral reconstruction, the kite technique for labral augmentation is based on the principle that the use of 2 control sutures in a pulley system creates an efficient method to accurately and reproducibly facilitate graft passage and fixation during arthroscopic labral augmentation procedures.

Arthroscopic Treatment of Femoroacetabular Impingement Using Labral Reconstruction with Capsular Autograft

“…[2][3][4] Although labral repairs are commonly performed in the primary setting for patients with femoroacetabular impingement (FAI), labral reconstruction may be necessary for patients with severe injury or hypoplastic labra. [5][6][7][8] Reconstruction may also be considered in the revision setting for patients with insufficient or inadequate tissue quality following debridement or attempted repair when FAI symptoms persist or recur. 9 Multiple techniques have been described for labral reconstruction using both autograft and allograft sources.…”