AANA18 Live Surgery Simulcast: Labral Repair and Femoroplasty-AANA18 Live Surgery Simulcast: Labral Repair and Femoroplasty

Video Transcription

Video Summary

The live surgical demonstration featured Shane Ngo from Rush Medical Center performing a hip arthroscopy involving labral repair and femoral osteoplasty (cam resection) on a 22-year-old collegiate soccer player. The patient had persistent groin and high adductor pain limiting her ability to play, despite months of conservative therapy. Imaging revealed combined femoroacetabular impingement (FAI) with a pincer lesion and cam deformity, along with subtle labral injury on MRI.<br /><br />Dr. Ngo described the surgical approach including initial central compartment work, trimming the acetabular rim, and repairing the labrum with four anchors using a loop technique. He then proceeded to a T-capsulotomy for better visualization and dynamic access to the femoral neck, using traction sutures to open the capsule. Fluoroscopy guided the controlled femoral osteoplasty to restore head-neck offset while avoiding over-resection. Discussion emphasized the use of a postless traction table for better leg manipulation and the importance of dynamic intraoperative assessment.<br /><br />The procedure concluded with meticulous capsular closure using newer suture devices, tying with the hip in 20-30 degrees of flexion to avoid over-tightening and ensuring watertight healing. Throughout, the team addressed patient history, imaging, surgical decision-making, and technical pearls including visualization, traction management, and fluoroscopic guidance. The session ended on time with audience questions highlighting capsular management and surgical techniques.

Keywords

hip arthroscopy

labral repair

femoral osteoplasty

femoroacetabular impingement

cam resection

postless traction table

capsular closure