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

Technical Spotlight - Labral Augmentation

Video Transcription

Video Summary

Dr. Mike Ellman discusses hip labral augmentation, a surgical technique to treat hypoplastic (thin) labrums, aiming to restore native anatomy and biomechanics. Labral augmentation involves adding graft tissue behind the native labrum to improve suction seal and joint stability while preserving native labral function and cartilage. He contrasts this with debridement, repair, and reconstruction. Ideal candidates are young, active patients with a hypoplastic labrum and intact cartilage. Dr. Ellman details his segmental augmentation technique using tibialis anterior allografts and anchor sutures, emphasizing tailored approaches and noting limited long-term outcomes. More research is needed to confirm efficacy and optimal methods.

Asset Caption

Michael Ellman, M.D.

Keywords

hip labral augmentation

hypoplastic labrum

tibialis anterior allograft

joint stability

segmental augmentation technique