IC105-2021: The Future of Hip Arthroscopy - Innovations for Current Practices-The Future of Hip Arthroscopy

The Future of Hip Arthroscopy - Innovations for Current Practices (3/4)

Video Transcription

Video Summary

In this video, the speaker discusses labral reconstruction and augmentation in hip arthroscopy. They share their experience starting in 2005 and explain that labral reconstruction is typically done for irreparable complex tears with minimal tissue or ossified labrum. The speaker emphasizes the importance of preserving the circumferential fibers of the labrum and recreating the triangular fibrocartilage structure to ensure a seal. They also recommend measuring the labral height, with less than 6mm indicating a weaker seal. The speaker discusses their technique for labral reconstruction, including the use of autologous IT band as a graft and selecting appropriate anchor types. They highlight the importance of closing the capsule and preventing adhesions during the rehabilitation process. The speaker concludes by mentioning ongoing research on the use of a TGF1 blocker to reduce adhesions. They stress the need for careful patient selection and proper graft sizing in labral reconstruction, and highlight the potential benefits and drawbacks of the procedure.

Asset Caption

Marc Philippon, MD

Keywords

labral reconstruction

hip arthroscopy

irreparable tears

triangular fibrocartilage

graft sizing