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Simultaneous acetabular labrum and ligamentum teres reconstruction: a case report

This study aims to present the surgical technique for reconstructing both the acetabular labrum and the ligamentum teres and to describe the early outcomes of this procedure in a 15-year-old male with recurrent hip instability. A 15-year-old patient with recurrent left hip dislocation, hip joint ins...

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Detalles Bibliográficos
Autores principales: White, Brian J, Scoles, Alexandra M, Herzog, Mackenzie M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961222/
https://www.ncbi.nlm.nih.gov/pubmed/29876134
http://dx.doi.org/10.1093/jhps/hny001
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author White, Brian J
Scoles, Alexandra M
Herzog, Mackenzie M
author_facet White, Brian J
Scoles, Alexandra M
Herzog, Mackenzie M
author_sort White, Brian J
collection PubMed
description This study aims to present the surgical technique for reconstructing both the acetabular labrum and the ligamentum teres and to describe the early outcomes of this procedure in a 15-year-old male with recurrent hip instability. A 15-year-old patient with recurrent left hip dislocation, hip joint instability and failed non-operative intervention presented following two left hip dislocations. A labral reconstruction was performed utilizing an iliotibial band allograft tissue with a concomitant ligamentum teres reconstruction using a tibialis anterior allograft. The patient was assessed pre- and postoperatively using modified Harris Hip Score, Lower Extremity Functional Scale and Visual Analogue Scale for pain and satisfaction. The patient reported improvement on all measures, including hip stability 14 months following surgery. The patient has not reported any episodes or subjective feelings of instability, has not required further surgical procedures in the hip and has returned to full sports participation. This case report demonstrates a technique for and early outcomes of simultaneous arthroscopic ligamentum teres and acetabular labrum reconstruction in a patient with recurrent hip instability. Short-term outcomes suggest improved hip stability, reduced pain, high patient satisfaction and return to pre-injury activities at 14 months postoperative in this single case report.
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spelling pubmed-59612222018-06-06 Simultaneous acetabular labrum and ligamentum teres reconstruction: a case report White, Brian J Scoles, Alexandra M Herzog, Mackenzie M J Hip Preserv Surg Research Articles This study aims to present the surgical technique for reconstructing both the acetabular labrum and the ligamentum teres and to describe the early outcomes of this procedure in a 15-year-old male with recurrent hip instability. A 15-year-old patient with recurrent left hip dislocation, hip joint instability and failed non-operative intervention presented following two left hip dislocations. A labral reconstruction was performed utilizing an iliotibial band allograft tissue with a concomitant ligamentum teres reconstruction using a tibialis anterior allograft. The patient was assessed pre- and postoperatively using modified Harris Hip Score, Lower Extremity Functional Scale and Visual Analogue Scale for pain and satisfaction. The patient reported improvement on all measures, including hip stability 14 months following surgery. The patient has not reported any episodes or subjective feelings of instability, has not required further surgical procedures in the hip and has returned to full sports participation. This case report demonstrates a technique for and early outcomes of simultaneous arthroscopic ligamentum teres and acetabular labrum reconstruction in a patient with recurrent hip instability. Short-term outcomes suggest improved hip stability, reduced pain, high patient satisfaction and return to pre-injury activities at 14 months postoperative in this single case report. Oxford University Press 2018-02-06 /pmc/articles/PMC5961222/ /pubmed/29876134 http://dx.doi.org/10.1093/jhps/hny001 Text en © The Author(s) 2018. Published by Oxford University Press http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Research Articles
White, Brian J
Scoles, Alexandra M
Herzog, Mackenzie M
Simultaneous acetabular labrum and ligamentum teres reconstruction: a case report
title Simultaneous acetabular labrum and ligamentum teres reconstruction: a case report
title_full Simultaneous acetabular labrum and ligamentum teres reconstruction: a case report
title_fullStr Simultaneous acetabular labrum and ligamentum teres reconstruction: a case report
title_full_unstemmed Simultaneous acetabular labrum and ligamentum teres reconstruction: a case report
title_short Simultaneous acetabular labrum and ligamentum teres reconstruction: a case report
title_sort simultaneous acetabular labrum and ligamentum teres reconstruction: a case report
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961222/
https://www.ncbi.nlm.nih.gov/pubmed/29876134
http://dx.doi.org/10.1093/jhps/hny001
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