APEX Managing Modern Athletic Hip Injuries-Online Didactic (September 2021)-Continuum of Labral Management: My Algorithm for Debridement, Repair, Augment and Reconstruction

Continuum of Labral Management: My Algorithm for Debridement, Repair, Augment and Reconstruction

Video Transcription

Video Summary

In this video, Dr. Christopher Larson discusses special considerations for labral management, labral reconstruction, and outcomes. He emphasizes preserving the labral seal by placing anchors one to three millimeters off the articular cartilage margin. Distal based portals are preferred for better angle and safer anchor placement. He also discusses the management of labral ossific fragments and labral preservation, suggesting that resection with a burr preserves more labrum than extraction with a blade. He shows examples of different scenarios, including non-ossified and ossified rim cases, and explains the challenges they present for labral management. Labral reconstruction is presented as a viable option, particularly in revision cases or cases with an irreparable labrum. Graft options and techniques for labral reconstruction are discussed, along with tips for accurate osseous mechanical restoration. Dr. Larson discusses outcomes of labral repair and reconstruction, noting that preservation is superior to excision. He suggests further studies on the long-term benefits and cost analysis of labral reconstruction.

Asset Caption

Christopher Larson, M.D.

Keywords

labral management

labral reconstruction

labral seal

anchors

labral preservation