Arthroscopic Triple Reconstruction in the Hip Joint: Restoration of Soft-Tissue Stabilizers in Revision Surgery for Gross Instability
Authors: Ankem HK, Diulus SC, Meghpara MB, Rosinsky PJ, Shapira J, Maldonado DR, Lall AC, Domb BG
DOI: 10.1016/j.eats.2021.01.018
Background
Gross hip instability may result from traumatic injury or prior hip arthroscopy that compromised key soft-tissue stabilizers such as the labrum, ligamentum teres, and capsule.
Methods
Describes a detailed arthroscopic technique for triple reconstruction of the labrum, ligamentum teres, and capsule aimed at restoring hip stability in revision cases.
Key Findings
The triple reconstruction technique is safe and effective in patients with severe hip instability, particularly following failed previous surgeries.
Conclusions
Arthroscopic triple reconstruction offers a viable surgical option to restore soft-tissue stabilizers and improve stability in hips with gross instability.
What Does This Mean for Providers?
- Consider triple reconstruction for patients with recurrent hip instability after prior surgical failure.
- Restoration of all three key soft-tissue stabilizers can improve joint stability and patient outcomes.
- Familiarity with this complex technique is important for surgeons managing revision hip instability cases.
- Patient selection and surgical planning should emphasize soft-tissue integrity restoration.