Arthroscopic Labral Reconstruction of the Hip Using Local Capsular Autograft
Authors: Domb BG, Gupta A, Stake CE, Hammarstedt JE, Redmond JM
DOI: 10.1016/j.eats.2014.02.004
Purpose
To describe an arthroscopic technique using local capsular tissue as autograft for labral reconstruction.
Methods
Technical report outlining use of capsular tissue harvested intraoperatively for reconstruction of irreparable labral tears, avoiding donor-site morbidity associated with alternative graft sources.
Key Findings
- Utilizes readily available capsular tissue during the arthroscopy.
- Minimally invasive alternative to open reconstruction or use of ligamentum teres, iliotibial band, or gracilis tendon grafts.
- Appropriate for patients with labral deficiency from intrasubstance damage, previous surgery, calcification, or hypoplasia.
Conclusion
Local capsular autograft is a promising arthroscopic technique for labral reconstruction that minimizes donor-site morbidity.
What Does This Mean for Providers?
- Offers a minimally invasive, efficient graft source for irreparable labral tears.
- Avoids complications associated with harvesting distant autografts.
- Should be considered when the labrum is nonsalvageable and capsular tissue is sufficient.