ICL 305-1 Arthroscopic Management of Hip Labral Pathology and Impingement: 2014-Labral Reconstruction Part II

Video Transcription

Video Summary

The speaker discusses advanced hip labrum treatment when the labrum is absent or damaged. The labrum, a fibrocartilage critical for hip stability and fluid seal, can be repaired or reconstructed if irreparable. Labral repair involves anchor placement and suturing techniques to restore function. When repair isn't possible, reconstruction using grafts, often autologous IT band tissue, is an effective alternative with successful outcomes even in athletes. The graft integrates into fibrocartilage, restoring the labrum’s role. Proper patient selection is vital—those with minimal arthritis and adequate joint space benefit most. Reconstruction improves hip function, reduces instability, and allows return to sports. Preserving or restoring the labrum is preferred over debridement to maintain hip health. Surgical techniques and anchor types are tailored for optimal labrum positioning and healing. Overall, labral reconstruction offers a promising option for difficult cases, ensuring improved function and patient satisfaction long-term.

Keywords

hip labrum treatment

labral repair

labral reconstruction

autologous IT band graft

hip stability