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APEX Hip Enhancing Clinical Expertise and Proficie ...
Technical Spotlight - 270 Degree Labral Reconstruc ...
Technical Spotlight - 270 Degree Labral Reconstruction
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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
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