AANA Hip Arthroscopy - September 2024-Labral Management - Debride, Repair, Reconstruct, Augment

Labral Management - Debride, Repair, Reconstruct, Augment

Video Transcription

Video Summary

Dr. Mark Philippon discusses hip labral management focusing on when to debride, repair, augment, or reconstruct. The labrum stabilizes the hip by creating a fluid seal. Small tears may be debrided for symptomatic relief, but repair is generally superior, using loop or pierce suture techniques. Labral augmentation with iliotibial band graft restores volume when the labrum is deficient but circumferential fibers remain. Segmental labral reconstruction is used for severe damage or segmental defects, improving joint stability and function. Long-term outcomes show excellent patient satisfaction. Optimizing treatment aims to preserve anatomy, restore labral volume, and maintain the suction seal.

Keywords

hip labral management

labral debridement

labral repair techniques

labral augmentation

labral reconstruction