Why the study?
Does the over-the-top technique preserve the hip labrum and decrease cartilage wear over time in patients undergoing FAI surgery?
Does the over-the-top technique preserve the hip labrum and decrease cartilage wear over time in patients undergoing FAI surgery?
Preserving labral attachment using an over-the-top technique is advocated as the standard of care in FAI treatment to maintain the suction seal and potentially decrease cartilage wear.
There is increasing interest in fine tuning of hip arthroscopy to improve the long-term outcomes of femoroacetabular impingement (FAI) surgery. Recently, some advocated for rim trimming and labral refixation without taking down the labrum, using a so-called over-the-top technique. Although some studies have already reported on the outcomes of this procedure, very few have focused on how maintaining an unharmed chondrolabral junction may decrease cartilage wear over time. Preserving labral attachment should be the standard of care in the treatment of FAI, to keep the suction seal working normally.
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Slullitel et al. (2021) conducted an editorial in Femoroacetabular impingement (FAI). Over-the-top technique (rim trimming and labral refixation without taking down the labrum) was evaluated.
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