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Arthroscopic Treatment of Femoroacetabular Impingement Using Labral Reconstruction with Capsular Autograft
The acetabular labrum is essential for stability during physiologic motion of the hip. Labral repairs frequently are attempted in cases of primary tears, although labral reconstruction is an important alternative in the revision setting or in the primary setting when the tissue is unsalvageable. Lab...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8556663/ https://www.ncbi.nlm.nih.gov/pubmed/34754747 http://dx.doi.org/10.1016/j.eats.2021.07.015 |
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author | DeFroda, Steven F. Kester, Benjamin S. Clapp, Ian M. Newhouse, Alexander C. Nho, Shane J. |
author_facet | DeFroda, Steven F. Kester, Benjamin S. Clapp, Ian M. Newhouse, Alexander C. Nho, Shane J. |
author_sort | DeFroda, Steven F. |
collection | PubMed |
description | The acetabular labrum is essential for stability during physiologic motion of the hip. Labral repairs frequently are attempted in cases of primary tears, although labral reconstruction is an important alternative in the revision setting or in the primary setting when the tissue is unsalvageable. Labral reconstruction has been shown to restore the hip’s suction-seal and fluid pressurization to that of the premorbid state, and cohort studies have demonstrated significantly improved patient-reported outcomes at midterm follow-up. Notably, the cost is of consideration during any reconstruction, and techniques have been described using both allograft and autograft sources. Autograft sources include the iliotibial band, ligamentum teres, gracilis tendon, and hip capsule. A previously described technique using the capsule was noted to hinder routine capsular closure. We present an alternative method for labral reconstruction using hip capsular tissue that is easily performed and allows for routine capsular closure. |
format | Online Article Text |
id | pubmed-8556663 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-85566632021-11-08 Arthroscopic Treatment of Femoroacetabular Impingement Using Labral Reconstruction with Capsular Autograft DeFroda, Steven F. Kester, Benjamin S. Clapp, Ian M. Newhouse, Alexander C. Nho, Shane J. Arthrosc Tech Technical Note The acetabular labrum is essential for stability during physiologic motion of the hip. Labral repairs frequently are attempted in cases of primary tears, although labral reconstruction is an important alternative in the revision setting or in the primary setting when the tissue is unsalvageable. Labral reconstruction has been shown to restore the hip’s suction-seal and fluid pressurization to that of the premorbid state, and cohort studies have demonstrated significantly improved patient-reported outcomes at midterm follow-up. Notably, the cost is of consideration during any reconstruction, and techniques have been described using both allograft and autograft sources. Autograft sources include the iliotibial band, ligamentum teres, gracilis tendon, and hip capsule. A previously described technique using the capsule was noted to hinder routine capsular closure. We present an alternative method for labral reconstruction using hip capsular tissue that is easily performed and allows for routine capsular closure. Elsevier 2021-09-21 /pmc/articles/PMC8556663/ /pubmed/34754747 http://dx.doi.org/10.1016/j.eats.2021.07.015 Text en © 2021 Published by Elsevier on behalf of the Arthroscopy Association of North America. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Technical Note DeFroda, Steven F. Kester, Benjamin S. Clapp, Ian M. Newhouse, Alexander C. Nho, Shane J. Arthroscopic Treatment of Femoroacetabular Impingement Using Labral Reconstruction with Capsular Autograft |
title | Arthroscopic Treatment of Femoroacetabular Impingement Using Labral Reconstruction with Capsular Autograft |
title_full | Arthroscopic Treatment of Femoroacetabular Impingement Using Labral Reconstruction with Capsular Autograft |
title_fullStr | Arthroscopic Treatment of Femoroacetabular Impingement Using Labral Reconstruction with Capsular Autograft |
title_full_unstemmed | Arthroscopic Treatment of Femoroacetabular Impingement Using Labral Reconstruction with Capsular Autograft |
title_short | Arthroscopic Treatment of Femoroacetabular Impingement Using Labral Reconstruction with Capsular Autograft |
title_sort | arthroscopic treatment of femoroacetabular impingement using labral reconstruction with capsular autograft |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8556663/ https://www.ncbi.nlm.nih.gov/pubmed/34754747 http://dx.doi.org/10.1016/j.eats.2021.07.015 |
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