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Circumferential and Segmental Arthroscopic Labral Reconstruction of the Hip Utilizing the Knotless Pull-Through Technique with All-Suture Anchors

Authors: Sabetian PW, Owens JS, Maldonado DR, Miecznikowski KB, Saks BR, Jimenez AE, Ankem HK, Lall AC, Domb BG

DOI: 10.1016/j.eats.2021.05.029

Background

Labral reconstruction is critical for restoring hip stability and function in cases of irreparable labral tears. This technical note describes a knotless pull-through arthroscopic technique using all-suture anchors for both segmental and circumferential reconstructions.

Methods

The technique employs knotless all-suture anchors to reconstruct the acetabular labrum arthroscopically, adaptable to various labral tear patterns.

Key Findings

The procedure is minimally invasive, allows for effective reconstruction in both segmental and circumferential tears, and potentially offers reduced complications and quicker recovery.

Conclusions

This knotless pull-through technique with all-suture anchors is a versatile and promising method for labral reconstruction in the hip.

What Does This Mean for Providers?

  • This technique offers a reproducible, minimally invasive option for labral reconstruction, applicable to a wide range of tear patterns.
  • Using knotless all-suture anchors may reduce intraoperative complexity and postoperative complications associated with knot stacks.
  • Consider incorporating this approach to enhance surgical efficiency and potentially improve patient recovery times.