Revision and Reconstructive Hip Arthroscopy: When and When Not to Use Grafts and Augments (2024 Annual Meeting)-Revision and Reconstructive Hip Arthroscopy: When and When Not to Use Grafts and Augments

Revision and Reconstructive Hip Arthroscopy: When and When Not to Use Grafts and Augments

Video Transcription

Video Summary

The video provides a comprehensive discussion on the use of grafts in hip arthroscopy procedures, outlining when to consider labral repair, augmentation, and reconstruction. Surgeons emphasize factors like labral size and health, capsule closure for stability, and the benefits of using biological or synthetic augmentations to reinforce the capsule. Techniques such as the modified pull-through method for reconstruction are demonstrated alongside cases requiring augmentation due to irreparable tissue. The importance of restoring normal anatomy, utilizing patient tissue, and ensuring secure closure is stressed to prevent complications. Different approaches to capsule management and the potential use of bioinductive grafts are explored. The speaker delves into techniques for addressing issues like abductor tendon tears and hamstring tears, stressing the significance of using augmentations for thin or attenuated tissues. Insights on various graft types and their integration are shared, alongside considerations for anatomical repair and patient-specific needs. Practical tips and experiences are provided, concluding with a Q&A session focusing on capsule closure techniques. The video aims to guide surgeons in tailoring treatment plans for individual patients with tendon and capsule-related hip issues.

Asset Caption

Michael B. Banffy, M.D., Moderator | Elizabeth J. Scott, M.D. | Robert W. Westermann, M.D. | Jovan R. Laskovski, M.D., FAANA | Thomas H. Wuerz, M.D., M.Sc.

Keywords

hip arthroscopy procedures

grafts

labral repair

augmentation

reconstruction

biological augmentations

synthetic augmentations

modified pull-through method

irreparable tissue

abductor tendon tears

hamstring tears