ICL 305-1 Arthroscopic Management of Hip Labral Pathology and Impingement: 2014-Labral Repair

Video Transcription

Video Summary

The speaker emphasizes the importance of addressing underlying mechanical issues when performing labral repairs in hip arthroscopy, as a technically perfect repair may fail if causative factors aren't corrected. Labral tears mostly arise insidiously rather than from trauma, often involving the anterior superior chondrolabral junction. Accurate diagnosis relies on clinical exam and radiographic metrics, with experience (~30 cases) crucial for distinguishing normal from pathological. Repair techniques typically use a supine position, two portals, and involve placing suture anchors along the acetabular rim to restore stability and preserve tissue. Avoiding transchondral drilling and minimizing tissue damage supports healing due to preserved blood supply. Posterior labral tears are rare and mainly post-traumatic. Rehabilitation protocols are critical for protecting repairs, with patients typically returning to sports in about four months. Labral preservation yields better outcomes than removal, especially in patients without significant arthritis. The speaker encourages further hands-on training through specialized courses and international meetings.

Keywords

hip arthroscopy

labral repair

mechanical issues

suture anchors

rehabilitation protocols