The Failed Hip Arthroscopy - How to Successfully Manage (and Not Replace) It (AANA22)-Labral Deficiency

Video Transcription

Video Summary

The speaker discusses labral deficiency in hip arthroscopy, emphasizing the complexity of revision cases and the importance of proper indications, thorough workup, and preparation. They highlight different types of labral deficiency—diminutive, segmental, and complete—and advocate for selective augmentation or reconstruction based on the chondrolabral junction's condition. Evidence supports improved outcomes with reconstruction, especially circumferential grafts in irreparable labra. The use of allografts, various graft types, and careful surgical workflow are stressed. Case examples illustrate management strategies, underscoring the need for surgeon familiarity with reconstruction techniques, proper patient counseling, and surgical team coordination for optimal results.

Asset Caption

Ajay C. Lall, M.D.

Keywords

labral deficiency

hip arthroscopy

labral reconstruction

allografts

surgical workflow