J P Scanaliato1, C K Green2, C E Salfiti3, A B Wolff3. 1. William Beaumont Army Medical Center/Texas Tech Health Sciences Center, El Paso, TX, USA. jscans@gmail.com. 2. The George Washington University School of Medicine, Washington, DC, USA. 3. Washington Orthopaedics and Sports Medicine, Washington, DC, USA.
Abstract
PURPOSE OF REVIEW: With increased understanding of the biomechanical function of the acetabular labrum, more attention has been directed towards surgical techniques that preserve or restore normal joint anatomy. While labral repair has been shown to produce superior outcomes to labral debridement, repair is not always possible in the setting of severe labral intrasubstance tearing or deficiency. These patients were previously left without suitable arthroscopic treatment options. RECENT FINDINGS: Labral reconstruction is an emerging procedure that has been shown to offer promising outcomes for traditionally difficult-to-treat hip pathology. Short- and mid-term follow-up studies have consistently demonstrated significant improvement in patient-reported outcomes, function, and patient satisfaction postoperatively, often despite less favorable preoperative characteristics. Labral reconstruction is a viable arthroscopic treatment option that has been shown to reliably produce clinically meaningful results in patients with severe labral pathology that is not amenable to repair/refixation or augmentation.
PURPOSE OF REVIEW: With increased understanding of the biomechanical function of the acetabular labrum, more attention has been directed towards surgical techniques that preserve or restore normal joint anatomy. While labral repair has been shown to produce superior outcomes to labral debridement, repair is not always possible in the setting of severe labral intrasubstance tearing or deficiency. These patients were previously left without suitable arthroscopic treatment options. RECENT FINDINGS: Labral reconstruction is an emerging procedure that has been shown to offer promising outcomes for traditionally difficult-to-treat hip pathology. Short- and mid-term follow-up studies have consistently demonstrated significant improvement in patient-reported outcomes, function, and patient satisfaction postoperatively, often despite less favorable preoperative characteristics. Labral reconstruction is a viable arthroscopic treatment option that has been shown to reliably produce clinically meaningful results in patients with severe labral pathology that is not amenable to repair/refixation or augmentation.
Authors: Jeffrey J Nepple; Marc J Philippon; Kevin J Campbell; Grant J Dornan; Kyle S Jansson; Robert F LaPrade; Coen A Wijdicks Journal: Knee Surg Sports Traumatol Arthrosc Date: 2014-02-09 Impact factor: 4.342
Authors: Marc J Philippon; Jeffrey J Nepple; Kevin J Campbell; Grant J Dornan; Kyle S Jansson; Robert F LaPrade; Coen A Wijdicks Journal: Knee Surg Sports Traumatol Arthrosc Date: 2014-02-12 Impact factor: 4.342
Authors: Norman Espinosa; Martin Beck; Dominique A Rothenfluh; Reinhold Ganz; Michael Leunig Journal: J Bone Joint Surg Am Date: 2007-03 Impact factor: 5.284