Key result
Labral reconstruction incorporating the transverse acetabular ligament may better restore a suction seal, with both repair and reconstruction resulting in excellent short-term outcomes.
Why the study?
Controversies regarding hip labral reconstruction abound, including primary versus revision indications and circumferential versus segmental reconstruction.
Labral reconstruction incorporating the transverse acetabular ligament may better restore the suction seal and provide excellent short-term outcomes in hip preservation surgery.
In the field of hip preservation, arthroscopic labral reconstruction is indicated for acetabular labral deficiency. Controversies regarding hip labral reconstruction abound, including primary versus revision indications, and circumferential versus segmental reconstruction. The goal of hip preservation surgery is to correct bony cam and pincer lesions associated with femoroacetabular impingement, and to restore the soft tissue, including cartilage and the labrum. Ideally, restoration of the chondrolabral junction reestablishes a suction seal, enhancing synovial fluid pressurization, resisting distraction, and enhancing stability. Labral reconstruction incorporating the transverse acetabular ligament may better restore a seal. Both hip labral repair and reconstruction result in excellent, evidence-based short-term outcomes including pain relief, function, and return to sport.
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Harris et al. (2020) conducted a review in Irreparable Hip Labral Tears and Femoroacetabular Impingement Syndrome. Labral reconstruction incorporating the transverse acetabular ligament was evaluated. Labral reconstruction incorporating the transverse acetabular ligament may better restore a suction seal, with both repair and reconstruction resulting in excellent short-term outcomes.
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