APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Labral Management

Labral Management - Debride, Repair, Reconstruct, Augment

Video Transcription

Video Summary

Mark Philippon discusses hip labral management in arthroscopy, emphasizing the importance of preserving the labrum’s native anatomy to maintain hip stability and joint health. He explains when to debride (small frays), repair (superior to debridement), augment (when volume is inadequate but fibers remain), and reconstruct (for severe defects). Techniques include loop and pierce sutures, with outcomes showing repair and reconstruction improving function and joint seal. Labral volume and suction seal integrity are critical for stability. Long-term results demonstrate high patient satisfaction. Optimal treatment also requires addressing related issues like impingement or chondral damage to ensure joint preservation.

Asset Caption

Marc J. Philippon, M.D.

Keywords

hip labral management

arthroscopy

labrum repair

joint stability

labral reconstruction