Surgical Technique: Arthroscopic Labral Reconstruction Using Iliotibial Band Autograft or Allograft

Reference work entry

Abstract

Labral tears cannot always be repaired. When the labrum tear is complex or previous debridement has left limited function tissue, labral reconstruction is indicated. Labral reconstruction of the hip has been demonstrated to be a safe and effective technique, with high patient satisfaction rates, improved pain, and improved patient outcome scores. Tissue for the labral reconstruction can be either autografts or allografts. This chapter described labral reconstructions using iliotibial band autograft and allograft.

Keywords

Synovitis 

Supplementary material

308160_1_En_104_MOESM1_ESM.avi (38.7 mb)
Video 1 AVI file: 396161 kB

References

  1. 1.
    Meftah M, Rodriguez JA, Panagopoulos G, Alexiades MM. Long-term results of arthroscopic labral debridement: predictors of outcomes. Orthopedics. 2011;34(10):e588–92.PubMedGoogle Scholar
  2. 2.
    Krych AJ, Thompson M, Knutson Z, Scoon J, Coleman SH. Arthroscopic labral repair versus selective labral debridement in female patients with femoroacetabular impingement: a prospective randomized study. Arthroscopy. 2013;29:46–53.PubMedCrossRefGoogle Scholar
  3. 3.
    Larson CM, Giveans RM, Stone RM. Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement: mean 3.5-year follow-up. Am J Sports Med. 2012;40:1015–21.PubMedCrossRefGoogle Scholar
  4. 4.
    Philippon MJ, Weiss DR, Kuppersmith DA, Briggs KK, Hay CJ. Arthroscopic labral repair and treatment of femoroacetabular impingement in professional hockey players. Am J Sports Med. 2010;38:99–104.PubMedCrossRefGoogle Scholar
  5. 5.
    Philippon MJ, Briggs KK, Yen YM, Kuppersmith DA. Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction: minimum two-year follow-up. J Bone Joint Surg Br. 2009;91:16–23.PubMedCrossRefGoogle Scholar
  6. 6.
    Geyer MR, Philippon MJ, Fagrelius TS, Briggs KK. Acetabular labral reconstruction with an iliotibial band autograft: outcome and survivorship analysis at minimum 3-year follow-up. Am J Sports Med. 2013;41:1750–6.PubMedCrossRefGoogle Scholar
  7. 7.
    Matsuda DK, Burchette RJ. Arthroscopic hip labral reconstruction with a gracilis autograft versus labral refixation: 2-year minimum outcomes. Am J Sports Med. 2013;41:980–7.PubMedCrossRefGoogle Scholar
  8. 8.
    Philippon MJ, Briggs KK, et al. Arthroscopic labral reconstruction in the hip using iliotibial band autograft: technique and early outcomes. Arthroscopy. 2010;26:750–6.PubMedCrossRefGoogle Scholar
  9. 9.
    Boykin RE, Patterson D, Briggs KK, Dee A, Philippon MJ. Results of arthroscopic labral reconstruction of the hip in elite athletes. Am J Sports Med. 2013;41:2296–301.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Hip Arthroscopy, Center for Outcomes-based Orthopaedic ResearchSteadman Philippon Research InstituteVailUSA
  2. 2.Broward Health Imperial PointOrthopedic Surgery – Foot and Ankle, Broward Health Medical CenterFort LauderdaleUSA

Personalised recommendations