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Treatment of Labral Tears in FAI Surgery

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Diagnosis and Management of Femoroacetabular Impingement

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Abstract

As arthroscopic techniques and the tools available have advanced, the treatment of FAI and associated labral tears has been refined. While labral debridement was the standard of care in the early days of hip arthroscopy, increasingly treatment is now based on specific anatomic variations of the labral tear. The labrum augments the femoral head coverage within the acetabulum and provides a joint sealing effect that ensures adequate joint lubrication; this also contributes to improving cartilage nutrition and hip stability. The loss of this sealing effect can cause degeneration of the hip due to poor fluid mechanics and increased hip instability. There is increasing evidence supporting labral repair over labral debridement. Finally, the treatment of the labral tear is commonly dictated by the type of tear and the quality of labral tissue.

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Author information

Authors and Affiliations

  1. Steadman Clinic and Steadman Philippon Research Institute, Vail, CO, USA

    Marc J. Philippon MD (Orthopaedic Surgeon)

  2. Steadman Philippon Research Institute, Center for Outcomes-based Orthopaedic Research, 181 West Meadow Suite, Vail, CO, 1000, USA

    Karen K. Briggs MPH

Authors
  1. Marc J. Philippon MD
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  2. Karen K. Briggs MPH
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Corresponding author

Correspondence to Marc J. Philippon MD .

Editor information

Editors and Affiliations

  1. McMaster University, Hamilton, Ontario, Canada

    Olufemi R. Ayeni

  2. Hosp, Academy University of Gothenburg, Dept. of Orthopaedics, Sahlgrenska Univ Hosp, Academy University of Gothenburg, Gothenburg, Sweden

    Jón Karlsson

  3. Steadman Clinic, Ste 1000, Steadman Philippon Research Inst Steadman Clinic, Ste 1000, Vail, Colorado, USA

    Marc J Philippon

  4. Stanford University Dept of Orthopaedic Surg, M/C 6342, Redwood City, California, USA

    Marc R. Safran

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© 2017 Springer International Publishing Switzerland

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Philippon, M.J., Briggs, K.K. (2017). Treatment of Labral Tears in FAI Surgery. In: Ayeni, O., Karlsson, J., Philippon, M., Safran, M. (eds) Diagnosis and Management of Femoroacetabular Impingement. Springer, Cham. https://doi.org/10.1007/978-3-319-32000-7_12

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  • DOI: https://doi.org/10.1007/978-3-319-32000-7_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31998-8

  • Online ISBN: 978-3-319-32000-7

  • eBook Packages: MedicineMedicine (R0)

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