APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Technical Spotlight

Technical Spotlight - 270 Degree Labral Reconstruction

Video Transcription

Video Summary

The speaker discusses a technique for acetabular labral reconstruction, primarily used for revisions and irreparable tears, especially in older patients. Key principles include minimizing weak junctions between graft and native tissue and avoiding intra-joint graft cutting. The method uses a fascia lata allograft, carefully tubularized and anchored close to the acetabular rim. Length adjustments are managed using a length-independent "ligma" anchor, allowing fine-tuning of tension and graft position. Thorough debridement and precise anchor placement posteriorly and anteriorly ensure a strong seal. This reproducible technique consistently achieves a good suction seal, restoring hip function effectively.

Asset Caption

Andy Wolff, M.D.

Keywords

acetabular labral reconstruction

fascia lata allograft

ligma anchor

hip suction seal

graft tensioning