2021 Annual Meeting Hip Access Pass-What Do We Do with the Labrum: Enough is Enough, Just Fix It

What Do We Do with the Labrum: Enough is Enough, Just Fix It

Video Transcription

Video Summary

The speaker advocates for labral refixation in hip surgery, emphasizing its effectiveness when patients with repairable labral tissue are carefully selected. Three main approaches are discussed: rim decompression with labrum preservation, capsular elevation with labral refixation for unstable tears, and labral detachment followed by refixation in cases like true acetabular retroversion. Key technical points include precise anchor placement near the acetabular rim and intra-substance suture passage to restore natural function and suction seal. The speaker cautions against routine labral reconstruction unless absolutely necessary, noting ongoing questions about healing and outcomes, while highlighting continual technique improvements.

Asset Caption

Dr. Bryan Kelly | Hip Labrum Showdown

Keywords

labral refixation

hip surgery

rim decompression

capsular elevation

acetabular retroversion