2021 Annual Meeting Hip Access Pass-Circumferential and Segmental Labral Reconstruction; Management in the Primary Setting

Circumferential and Segmental Labral Reconstruction; Management in the Primary Setting

Video Transcription

Video Summary

Dr. Brian discussed a study comparing segmental and circumferential labral reconstructions using the knotless pull-through technique for irreparable labral tears. In a matched retrospective analysis of 94 patients with two-year follow-up, both reconstruction methods showed significant improvements in patient-reported outcomes, pain reduction, and patient satisfaction, with comparable success rates. The technique allows intraoperative graft sizing and can be applied for segmental, circumferential, or augmentation procedures using the same approach. Dr. Brian emphasized that surgeons should base the reconstruction choice on tissue viability, suggesting both methods have important roles depending on the extent of labral damage.

Asset Caption

Dr. Benjamin Domb | Hip Labrum Showdown

Keywords

labral reconstruction

knotless pull-through technique

segmental vs circumferential

irreparable labral tears

patient-reported outcomes