Workin’ 9 to 5: Reproducible Acetabular Labral Reconstruction

Background: Acetabular labral reconstruction is a proven solution for labral deficiency; nonetheless, it is technically challenging to perform. We present a reproducible, safe, and efficient method for partial circumferential labral reconstruction. Indications: Labral reconstruction is indicated in patients with symptomatic labral tearing—typically in the setting of femoroacetabular impingement (FAI) and labral tissue that is poor quality, ossified, or hypoplastic. Technique Description: This technique outlines methodical steps for labral reconstruction, with special attention to portal placement, acetabular rim preparation, suture management, graft passage, and graft fixation. Results: Most patients undergoing acetabular labral reconstruction in the setting of FAI and deficient labral tissue achieve excellent improvements in patient-reported outcome measures and high rates of satisfaction, which are similar to those of labral repair. Discussion/Conclusion: Labral reconstruction is a good option for patients with symptomatic labral tearing and deficiency. A reproducible, safe, and efficient technique is critical for this technically challenging procedure. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.