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

Video Transcription

Video Summary

Dr. John Cristoforetti, an orthopedic surgeon, presents a detailed technique for arthroscopic knotless labral repair of the hip. He emphasizes patient selection—typically those who have failed conservative management—and careful positioning, often using a postless supine hip arthroscopy approach. The procedure involves precise rim preparation balancing tissue preservation with bone healing and strategic portal placement for access. Key technical points include safe drilling of pilot holes, anchor placement, and suture passage through the labral base to avoid eversion and maintain hip suction seal. Knotless anchors enable tensionable repairs but require meticulous tension control and avoiding twists in sutures to prevent compromised fixation. The video demonstrates step-by-step how to pass and secure sutures using specialized instruments like integrated passers, ring graspers, and half pipe cannulas, finishing with tensioning and trimming sutures for optimal labral refixation without iatrogenic damage. This knotless method offers a refined, reproducible technique enhancing hip labral repairs.

Asset Caption

John J. Christoforetti, M.D.

Keywords

arthroscopic knotless labral repair

hip labral repair technique

postless supine hip arthroscopy

knotless anchor tensioning

orthopedic surgical procedure