IC 108-2023: The Failed Hip Arthroscopy - How To Successfully Manage (and Not Replace) It-IC 108 - The Failed Hip Arthroscopy - How To Successfully Manage (and Not Replace) It (2/5)

IC 108 - The Failed Hip Arthroscopy - How To Successfully Manage (and Not Replace) It (2/5)

Video Transcription

Video Summary

In this video, the speaker discusses the approach to labral repair in the hip joint. They aim to restore the anatomy and function of the labrum through repair or reconstruction. The goals of the procedure are to maintain the suction seal, enhance stability, dissipate contact pressure, and address pain and proprioceptive fibers. The speaker emphasizes the importance of diagnostic arthroscopy to determine the best treatment option, which can include repair, reconstruction, augmentation, or debridement. They highlight the need for individualized decision-making based on the appearance of the labrum. The speaker also discusses the principles and techniques involved in labral reconstruction, including anchor placement, graft preparation, and graft placement. Biomechanical evidence suggests that labral reconstructions can improve outcomes, although they may not be as effective as primary repair. Long-term clinical outcomes are still being studied.

Asset Caption

Shane Nho, MD, MS

Keywords

labral repair

hip joint

anatomy restoration

function restoration

suction seal maintenance