The Beveled Rim Technique for Labral Reconstruction
Authors: Kahana-Rojkind AH, Keane JC, Kingham YE, Quesada-Jimenez R, McCarroll TR, Domb BG
DOI: 10.1016/j.eats.2024.103156
Background
Optimal acetabular rim preparation is critical for successful labral reconstruction, promoting graft healing and joint stability. This article introduces the “beveled rim” technique designed to enhance biological integration and biomechanical function.
Methods
The technique involves trimming the acetabular rim into an inward-beveled shape, increasing the graft contact surface area and improving the hip’s suction seal during femoral distraction.
Key Findings
- The beveled rim enhances graft-to-bone contact, promoting better biological integration.
- It improves joint stability through a stronger suction seal.
- Potentially improves force distribution across the reconstructed labrum, which may protect graft longevity.
Conclusion
The beveled rim technique provides a biomechanically sound approach for acetabular rim preparation in arthroscopic labral reconstruction, which may translate into improved graft healing and joint function.
What Does This Mean for Providers?
Surgeons should consider the beveled rim technique as a method to optimize rim preparation, which may enhance labral graft integration and improve functional outcomes. This approach could reduce graft failure rates and improve joint biomechanics after reconstruction.