Labral cuff refixation in the hip: rationale and operative technique for preserving the chondrolabral interface for labral repair: a case series

Patrick Finton Carton* and David Filan
The Hip and Groin Clinic, Whitfield Clinic Medical Centre, Waterford City, Ireland

Arthroscopic labral ‘takedown’ and refixation is utilized to permit adequate visualization and resection of the acetabular rim deformity, in patients with pincer or mixed femoroacetabular impingement. Deficiencies exist in present techniques, which include disruption of vital anatomical support and vascular structures to the labrum and chondrolabral junction, drill or anchor articular penetration risk, bunching, elevation and instability of the labrum. A new operative technique is described which preserves the important chondrolabral interface, accurately restoring the ‘flap seal’ of the acetabular labrum while minimizing vascular disruption and reducing the risk of drill and anchor penetration. A prospective series of 123 consecutive cases of pincer or mixed femoroacetabular impingement, treated with arthroscopic labral cuff refixation and preservation of the chondrolabral interface, is reported; operative technique and 2-year outcomes are presented.

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Labral Cuff Repair

Fig. 5. Labral cuff refixation with traction on (a) and traction off (b). The labrum has been repaired back to the recessed acetabular rim; the body of the labrum remains completely free from suture fixation and mobile to optimize function as a ‘flap-seal’.

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