AANA Hip Arthroscopy - September 2024-Technical Spotlight - Knotless Anchor Repair for Hip Labrum

Technical Spotlight - Knotless Anchor Repair for Hip Labrum

Video Transcription

Video Summary

Dr. John Cristoforetti, an orthopedic surgeon, presents a detailed demonstration of knotless labral repair for hip arthroscopy in patients who failed conservative management. The technique involves patient positioning, careful rim preparation, and use of knotless anchors placed through precise portals to reattach the labrum to the acetabular rim without knot tying. Key technical considerations include careful suture passage capturing the labral base, correct pilot hole drilling to avoid complications, and tensioning the suture to preserve the suction seal of the hip joint. Instrumentation includes ball rasps, burrs, and integrate passers for suture management, with attention to avoiding twists or suture damage. Unlike knotted repairs, knotless constructs demand meticulous visualization and tension control to prevent tissue eversion or pull-away. The approach preserves labral tissue, avoids iatrogenic damage, and emphasizes intraoperative assessment to ensure repair quality. This knotless technique offers a reproducible, minimally invasive option for acetabular labral refixation in hip arthroscopy.

Keywords

knotless labral repair

hip arthroscopy

acetabular labrum

orthopedic surgery

minimally invasive technique