AANA Hip Arthroscopy - September 2024-Technical Spotlight

Technical Spotlight - Labral Augmentation

Video Transcription

Video Summary

Mike Ellman discusses hip labral augmentation, a technique enhancing a thin, hypoplastic labrum to restore native anatomy and biomechanics. Unlike reconstruction, augmentation preserves the chondrolabral junction, proprioception, and stability by attaching a graft behind the native labrum. Indicated mainly for young, active patients with labral hypoplasia and intact cartilage, it offers an alternative to debridement or reconstruction. Ellman details a segmental augmentation technique using tibialis anterior allograft and multiple anchors, emphasizing restoring suction seal and stability. Early outcomes are promising, though long-term data are limited. More research is needed to refine techniques and validate benefits.

Keywords

hip labral augmentation

labral hypoplasia

tibialis anterior allograft

chondrolabral junction preservation

segmental augmentation technique