2021 Annual Meeting Hip Access Pass-What Do We Do with the Labrum: Best of Both Worlds: Labral Augmentation

What Do We Do with the Labrum: Best of Both Worlds: Labral Augmentation

Video Transcription

Video Summary

The speaker discusses labral reconstruction in hip surgery, emphasizing the importance of preserving or restoring the suction seal for joint stability. Treatment options include repair, augmentation, debridement, or reconstruction, with reconstruction typically reserved for revision cases or when native tissue is nonviable. Segmental and total (circumferential) reconstructions differ in extent, with biomechanical studies showing reconstructions improve contact pressure but do not fully restore the suction seal like repairs. Clinical outcomes suggest repair remains superior, with reconstruction being more complex, time-consuming, and costly. Overall, labral repair remains the gold standard, while total reconstruction's role remains controversial.

Asset Caption

Dr. Shane Nho | Hip Labrum Showdown

Keywords

labral reconstruction

hip surgery

suction seal

joint stability

labral repair