AANA Hip Arthroscopy - September 2024-Technical Spotlight

Technical Spotlight - 270 Degree Labral Reconstruction

Video Transcription

Video Summary

The speaker presents a technique for acetabular labral reconstruction, primarily for revisions and irreparable tears, favoring older patients and cases with ossified labrum or severe deformities. Key principles include minimizing weak junction points and avoiding graft measurement challenges by using a length-independent graft management anchor (ligma anchor). Meticulous graft preparation with fascia latae allograft and precise anchor placement near the acetabular rim ensure a reliable suction seal. The technique allows intraoperative length adjustments, preventing graft mismatch and optimizing joint seal. The approach is reproducible, effectively addressing pathology while preserving native structures and function.

Keywords

acetabular labral reconstruction

ligma anchor

fascia latae allograft

graft preparation

joint suction seal