Display options
Share it on

Arthrosc Tech. 2015 Jul 27;4(4):e323-9. doi: 10.1016/j.eats.2015.03.002. eCollection 2015 Aug.

Arthroscopic Labral Reconstruction of the Hip Using Semitendinosus Allograft.

Arthroscopy techniques

John M Redmond, William M Cregar, Timothy J Martin, S Pavan Vemula, Asheesh Gupta, Benjamin G Domb

Affiliations

  1. Mayo Clinic Florida, Jacksonville, Florida, U.S.A.
  2. American Hip Institute, Westmont, Illinois, U.S.A.
  3. American Hip Institute, Westmont, Illinois, U.S.A.; Hinsdale Orthopaedics, Westmont, Illinois, U.S.A.

PMID: 26759770 PMCID: PMC4680853 DOI: 10.1016/j.eats.2015.03.002

Abstract

The labrum of the hip is recognized as being important to the stability of the hip and a major cause of hip pain. Damage to the labrum may result in increased joint stress and articular damage. Labral damage is often treated through various methods, among them simple stitch repair, base refixation, and debridement. Labral reconstruction becomes necessary when the labrum is too damaged to salvage, which renders labral repair improbable and labral debridement ineffective. In contrast to other methods that have been described for this treatment, our technique uses a semitendinosus allograft as a graft source, allowing for arthroscopic hip labral reconstruction. This technique has many advantages and is easily reproducible. It has shown promising results in patients with labral damage. The purpose of this article is to detail the step-by-step surgical technique of labral reconstruction using a semitendinosus allograft, in addition to the indications, pearls, and pitfalls of the technique.

References

  1. J Bone Joint Surg Br. 1986 May;68(3):400-3 - PubMed
  2. Phys Ther. 2006 Jan;86(1):110-21 - PubMed
  3. Am J Sports Med. 2012 May;40(5):1015-21 - PubMed
  4. Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):722-9 - PubMed
  5. Arthrosc Tech. 2012 Feb 23;1(1):e15-21 - PubMed
  6. Clin Sports Med. 2001 Oct;20(4):817-29 - PubMed
  7. J Biomech. 2000 Aug;33(8):953-60 - PubMed
  8. Clin Orthop Relat Res. 2007 Dec;465:16-22 - PubMed
  9. Am J Sports Med. 2013 May;41(5):980-7 - PubMed
  10. Arthroscopy. 2012 Mar;28(3):305-7; author reply 307-8 - PubMed
  11. Arthrosc Tech. 2013 Jun 14;2(3):e217-9 - PubMed
  12. Am J Sports Med. 2003 Nov-Dec;31(6):1020-37 - PubMed
  13. Arthrosc Tech. 2014 May 27;3(3):e355-9 - PubMed
  14. Clin Sports Med. 2001 Oct;20(4):703-31 - PubMed
  15. Arthroscopy. 2005 Dec;21(12):1496-504 - PubMed
  16. Orthopedics. 1995 Aug;18(8):753-6 - PubMed
  17. J Bone Joint Surg Am. 2006 May;88(5):925-35 - PubMed
  18. Clin Orthop Relat Res. 2001 Dec;(393):25-37 - PubMed
  19. Arthroscopy. 2010 Jun;26(6):750-6 - PubMed
  20. Clin Orthop Relat Res. 2003 Jan;(406):38-47 - PubMed
  21. Am J Sports Med. 2012 Apr;40(4):864-9 - PubMed
  22. J Biomech. 2003 Feb;36(2):171-8 - PubMed
  23. Clin Orthop Relat Res. 2009 Mar;467(3):753-9 - PubMed
  24. South Med J. 1977 Feb;70(2):174-5 - PubMed
  25. Arch Orthop Trauma Surg. 2003 Jul;123(6):283-8 - PubMed
  26. Arthroscopy. 1995 Oct;11(5):557-60 - PubMed
  27. Curr Rev Musculoskelet Med. 2009 Jun;2(2):105-17 - PubMed
  28. Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):730-6 - PubMed
  29. Am J Sports Med. 2014 Jan;42(1):122-30 - PubMed

Publication Types