APEX Managing Modern Athletic Hip Injuries-Online Didactic (September 2021)-Technical Spotlight

Technical Spotlight - 270 Degree Labral Reconstruction

Video Transcription

Video Summary

The video is a presentation on the technique for acetabular labral reconstruction. The technique is indicated for revisions and irreparable labral tears. It aims to address severe intrasubstance damage or ossified labrum. The presenter emphasizes the importance of minimizing weak junction points between the graft and the native labrum or the transverse acetabular ligament. The technique does not require measuring or cutting the graft and joint, which can be challenging and disrupt reinforcing sutures. The graft preparation involves using a fascia latae allograft and meticulous reinforcement with sutures. Anchor placement is discussed, with adjustments made based on the length and tension needed. The presenter demonstrates an alternative approach when the anterior labrum is in good condition. The video concludes with the importance of achieving a suction seal to prevent graft displacement. No credits were mentioned.

Asset Caption

Andy Wolff, M.D.

Keywords

acetabular labral reconstruction

revisions

irreparable labral tears

intrasubstance damage

ossified labrum