keyword
https://read.qxmd.com/read/38007094/similar-clinical-outcomes-for-arthroscopic-labral-reconstruction-in-irreparable-cases-using-the-indirect-head-of-the-rectus-femoris-tendon-with-an-all-inside-technique-for-small-defects-and-the-iliotibial-band-for-large-defects
#21
JOURNAL ARTICLE
Federico Della Rocca, Marco Rosolani, Alessio D'Addona, Riccardo D'Ambrosi
PURPOSE: The primary objective of this study was to evaluate the clinical outcomes and satisfaction rate of patients who underwent arthroscopic labral reconstruction for an irreparable labral tear with a minimum follow-up period of two years. Additionally, this study aimed to compare two different reconstructive techniques for small and large labral defects: the indirect head of the rectus femoris tendon (IHRFT) autograft with an all-inside technique used to repair small defects (≤3 hours) and the iliotibial band (ITB) autograft for large defects (>3 hours)...
November 23, 2023: Arthroscopy
https://read.qxmd.com/read/37932232/statistical-fragility-analysis-of-reported-outcomes-associated-with-surgical-management-of-acetabular-labral-pathology
#22
JOURNAL ARTICLE
Rahul Bhale, Michael Kain
INTRODUCTION: The purpose of this study was to analyse the robustness of comparative research that evaluated arthroscopic labral reconstruction versus other surgical management of labral pathology. Key measures of statistical fragility include the fragility index and fragility quotient.ß. METHODS: 12 comparative studies that evaluated the use of arthroscopic labral reconstruction were included in this study. Particular attention was placed on evaluating trends, either statistically significant or not, of functional improvement, complication rates, need for total hip arthroplasty (THA) and revision rates with associated p -values...
November 6, 2023: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/37898306/arthroscopic-labral-reconstruction-with-a-modified-inferior-capsular-shift-allows-return-to-sport-and-excellent-outcomes-in-contact-and-non-contact-athletes-with-anterior-shoulder-instability-at-minimum-5-year-follow-up
#23
JOURNAL ARTICLE
Kevin D Plancher, Karen K Briggs, Philip Zuccaro, Erin E Tucker, Stephanie C Petterson
PURPOSE: To compare return to sport, functional outcomes, recurrence of instability, and osteoarthritis(OA) between collision/contact and limited/non-contact athletes following arthroscopic labral reconstruction with a modified inferior capsular shift for anterior shoulder instability. METHODS: Athletes underwent an arthroscopic labral reconstruction with a modified inferior capsular shift, by the senior author between 1999 and 2017. Inclusion criteria were labral stripping from 12(just beyond the biceps anchor) to 6 o'clock, less than 20% glenoid bone loss, active sports participation, and no prior surgery...
October 26, 2023: Arthroscopy
https://read.qxmd.com/read/37866873/editorial-commentary-the-hip-arthroscopy-volume-to-competency-learning-curve-debate-is-complicated-learning-when-enough-is-enough-is-a-lifetime-discipline
#24
EDITORIAL
Ryan M Degen
As hip arthroscopy use grows, so does resident and fellow exposure, providing more "hands-on" learning opportunities. Nevertheless, hip arthroscopy is technically challenging, particularly noting that improved patient-reported outcomes and survivorship are reported after labral repair or reconstruction (vs debridement) as well as routine capsular closure. Undoubtedly a requisite number of cases is required to reach the saturation point of the "learning curve." A recent review shows that traction time, complication rates, and reoperation rates decrease with increasing case volumes, but there is a wide range of cases reported after which the learning curve "plateaus," ranging from 30 to 520 cases...
November 2023: Arthroscopy
https://read.qxmd.com/read/37780653/modified-technique-for-labral-reconstruction-of-hip-joint-using-autologous-iliotibial-band-itb-make-labral-reconstruction-stress-free
#25
JOURNAL ARTICLE
Kang Tian, Guanying Gao, Tong-Chuan He, Hanmei Dong, Siqi Zhang, Weiguo Zhang, Jianquan Wang, Yan Xu
Current treatments for labral tear include surgical debridement, arthroscopic repair, and labral reconstruction. Although labral debridement and labral suture repair are suitable for most patients, labral reconstruction is the first treatment option when there is extensive labral degeneration or defect. Often, however, the labral degeneration or defect is only detected intraoperatively; therefore, the surgeon should always have a backup plan. The current labral reconstruction technique has shortcomings such as long operation time, difficult autograft harvesting, cumbersome graft preparation, and the need for a large surgical incision and re-sterilization and draping...
September 2023: Arthroscopy Techniques
https://read.qxmd.com/read/37780652/modified-loop-suture-technique-in-arthroscopic-labral-repair-of-the-hip
#26
JOURNAL ARTICLE
Ryan H Barnes, W Kelton Vasileff
Hip arthroscopy is rapidly increasing in case volume annually in the United States. However, it remains a challenging surgery with a steep learning curve. Labral repair is commonly performed to preserve the labrum rather than labral debridement or reconstruction. Many techniques have been described for labral repair. In this technical note, we describe our technique for a modified loop suture technique for arthroscopic labral repair of the hip.
September 2023: Arthroscopy Techniques
https://read.qxmd.com/read/37753110/labral-reconstruction-via-capsular-augmentation-maintains-perfusion-to-the-acetabular-labrum-and-locally-transferred-autograft-an-in-vivo-laser-doppler-flowmetry-analysis
#27
JOURNAL ARTICLE
Nathan J Cherian, Christopher T Eberlin, Michael P Kucharik, Paul F Abraham, Mark R Nazal, Michael C Dean, Scott D Martin
BACKGROUND: The purpose of the present study was to examine the effects of arthroscopic labral repair with capsular augmentation on blood flow in vivo with use of laser Doppler flowmetry (LDF) to measure microvascular perfusion of the labrum and autograft tissue. METHODS: The present prospective case series included patients ≥18 years old who underwent arthroscopic acetabular labral repair with capsular augmentation; all procedures were performed by a single surgeon between 2018 and 2022...
2023: JB & JS Open Access
https://read.qxmd.com/read/37746892/radial-planes-in-hip-magnetic-resonance-imaging-techniques-applications-and-perspectives
#28
REVIEW
Yan-Li Chen, Wei Chen
The hip cartilage and labrum, as the main targets of femoroacetabular impingement, sports-related or traumatic damage, as well as congenital and developmental abnormalities, have attracted increasing attention with the development of magnetic resonance imaging (MRI) and hip arthroscopy. MRI is a commonly used imaging modality to noninvasively visualize the hip cartilage and labral lesions. However, conventional orthogonal MRI planes encounter unique challenges given the ball-and-socket configuration of the hip joint, its anatomically abducted and anteverted orientation, and the thin, closely apposed cartilage enveloping the femoral head and acetabulum...
September 25, 2023: Journal of Magnetic Resonance Imaging: JMRI
https://read.qxmd.com/read/37732715/can-the-acetabular-labrum-be-reconstructed-with-a-meniscal-allograft-an-in-vivo-pig-model
#29
JOURNAL ARTICLE
Maihemuti Maimaitimin, Fan Yang, Hongjie Huang, Yingfang Ao, Jianquan Wang
BACKGROUND: No single graft type has been shown to have a benefit in acetabular labral reconstruction. The native labrum and lateral meniscus share many similarities, suggesting that the meniscus may be a promising source of graft material in labral reconstruction. QUESTIONS/PURPOSES: Using a pig model, we sought to evaluate the healing process of fresh-frozen meniscus allograft for acetabular reconstruction by assessing (1) MRI and macroscopic observations of the meniscus allograft; (2) histologic appearance and immunohistologic evaluation of the meniscus allograft, native meniscus, and labrum; (3) microscopic assessment of the native labrum and meniscus via scanning electron microscopy; and (4) biomechanical assessment of tensile properties...
September 19, 2023: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/37655241/portal-selection-for-suture-anchor-placement-during-hip-arthroscopic-labral-repair-a-study-based-on-3-dimensional-model-reconstruction
#30
JOURNAL ARTICLE
Qi Chen, Jiyang Zou, Fusheng Wang, Kai Qiao, Han Li, Weiguo Zhang, Kang Tian
BACKGROUND: Arthroscopic suture repair is the main treatment option for hip labral tears; however, anchor insertion and placement from arthroscopic portals is difficult. PURPOSE: To quantitatively evaluate the safety of various arthroscopic portals for suture anchor placement during hip labral repair. STUDY DESIGN: Descriptive laboratory study. METHODS: The computed tomography scans of 20 patients with normally developed hip joints were used to create 3-dimensional models...
August 2023: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/37493964/acetabular-labral-reconstruction-review-of-techniques-and-outcomes
#31
REVIEW
Reece M Rosenthal, Joseph Featherall, Chad W Parkes, Ameen Z Khalil, James W Genuario, Travis G Maak, Stephen K Aoki
PURPOSE OF REVIEW: To analyze advances in labral reconstruction, and to discuss the literature relating to efficacy, outcomes, and technical considerations of labral reconstruction. RECENT FINDINGS: The available evidence suggests that labral reconstruction is a safe and effective procedure that can improve pain and function in patients with severe and/or complex labral tears. The superiority of labral reconstruction over labral repair is uncertain, and it remains unclear what graft type and technique should be used in labral reconstructions...
July 26, 2023: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/37437966/three-dimensional-ct-and-3d-mri-of-hip-important-aids-to-hip-preservation-surgery
#32
REVIEW
Ajit Kohli, Shuda Xia, Joel E Wells, Avneesh Chhabra
Common hip internal derangements include femoroacetabular impingement (FAI), developmental dysplasia of hip (DDH) dysplasia, and avascular necrosis (AVN) of the femoral head. These are initially screened by radiographs. For preoperative planning of hip preservation, 3-dimensional (3D) CT is commonly performed to assess bony anatomy and its alterations. Magnetic resonance imaging (MRI) is used to evaluate labrum, hyaline cartilage, tendons, synovium, and loose bodies, and provides vital information for surgical decision-making...
August 2023: Seminars in Ultrasound, CT, and MR
https://read.qxmd.com/read/37424660/arthroscopic-hip-labral-reconstruction-with-fresh-meniscal-allograft
#33
JOURNAL ARTICLE
Steven F DeFroda, Brett Crist, James L Cook
The acetabular labrum is essential to maintaining the functional health of the hip joint through contributions to joint congruity, stability, and the negative pressure suction seal. Injury, overuse, long-standing developmental disorders, or failed primary labral repair can eventually lead to functional labral insufficiency requiring management via labral reconstruction. While numerous graft options exist for hip labral reconstruction, there is no current gold standard. The optimal graft should best mimic the native labrum with regard to geometry, structure, mechanical properties, and durability...
June 2023: Arthroscopy Techniques
https://read.qxmd.com/read/37355193/magnetic-resonance-imaging-approximates-labral-width-at-the-9-12-and-3-o-clock-positions-in-the-setting-of-revision-hip-arthroscopy
#34
JOURNAL ARTICLE
Joseph J Ruzbarsky, Spencer M Comfort, Justin E Ernat, Hannah K Day, Marc J Philippon
PURPOSE: Labral augmentation or reconstruction is indicated for diminutive or deficient labra (previously described as labral width < 6mm) and allows for improvement of hip mechanics by restoration of the suction seal. The purpose of this study is to compare preoperative magnetic resonance imaging (MRI) and intraoperative measurements of labral height and determine if MRI can reliably predict labral width in the setting of revision surgery. METHODS: Patients who underwent revision hip arthroscopy with labral repair by a single surgeon from January 2008 to December 2015 were identified retrospectively from a prospectively collected database...
June 22, 2023: Arthroscopy
https://read.qxmd.com/read/37323799/single-portal-segmental-labral-reconstruction-of-the-hip
#35
JOURNAL ARTICLE
Matthew J Hartwell, Daniel B Goldberg, Samuel G Moulton, Stephanie E Wong, Alan L Zhang
Many techniques have been described for reconstruction of the acetabular labrum, but the procedure is known to be technically rigorous leading to lengthy procedure times and traction times. Increasing efficiency of the procedure with respect to graft preparation and delivery remain areas for potential improvement. We describe a simplified procedure for arthroscopic segmental labral reconstruction using peroneus longus allograft and a single working portal to shuttle the graft into the joint via suture anchors placed at the terminal extents of the graft defect...
May 2023: Arthroscopy Techniques
https://read.qxmd.com/read/37286281/editorial-commentary-glenoid-reconstruction-with-autologous-tricortical-iliac-crest-represents-an-alternative-to-bankart-repair-and-remplissage-for-anterior-shoulder-instability-with-subcritical-bone-loss
#36
EDITORIAL
Jeffery D St Jeor, Xinning Li, Brian R Waterman
Traumatic anterior shoulder dislocations are estimated to occur in approximately 2% of the population, frequently with concomitant anterior-inferior labral tears and associated Hill-Sachs lesions of the humeral head. So-called bipolar (or engaging) lesions with attritional bone loss may be exacerbated by recurrent instability, in terms of both prevalence and severity. The glenoid track concept and distance to dislocation have offered context for evaluating bipolar lesions, and increasingly, options for bone block reconstruction are considered for definitive treatment...
July 2023: Arthroscopy
https://read.qxmd.com/read/37275834/allograft-reconstruction-of-acetabular-labrum-has-comparable-outcomes-to-labral-refixation
#37
JOURNAL ARTICLE
Mohammad S Abdelaal, Ryan M Sutton, Cenk Atillasoy, Javad Parvizi
The acetabular labrum plays an important role in hip stability, intra-articular fluid pressurization and force distribution. For irreparable labral pathology, labral reconstruction is an increasingly adopted technique shown to decrease hip pain and improve function. We evaluated survivorship and clinical outcomes of allograft labral reconstruction using the mini-open anterior surgical approach. Twelve patients who underwent labral reconstruction using a semitendinosus tendon allograft (reconstruction group) were matched 1:3 based on age, gender, body mass index, year of surgery, preoperative Tönnis grade, previous hip surgery, residual hip pathology and extent of acetabular chondral lesion to a control group of 36 patients who underwent direct labral repair with anchors (refixation group)...
January 2023: Journal of Hip Preservation Surgery
https://read.qxmd.com/read/37270115/acetabular-labral-reconstruction-does-not-demonstrate-superior-biomechanical-properties-compared-to-labral-repair-or-intact-native-labrum-but-is-superior-to-labral-excision-a-systematic-review-of-cadaveric-studies
#38
REVIEW
David R Maldonado, Jade S Owens, Tracy George, Andrew J Curley, Benjamin G Domb
PURPOSE: To systematically review and compare biomechanical properties of labral reconstruction to labral repair, intact native labrum, and labral excision in cadaveric studies. METHODS: A search of the PubMed and Embase databases was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and checklist. Cadaveric studies focused on hip biomechanics related to intact labrum, labral repair, labral reconstruction, labral augmentation, labral excision were included...
June 1, 2023: Arthroscopy
https://read.qxmd.com/read/37138692/the-longitude-latitude-loop-used-for-complex-bankart-lesion-repair-an-all-arthroscopic-technique
#39
JOURNAL ARTICLE
Zhen-Ze Zheng, Chuan-Hai Zhou, Jin-Ming Zhang, Yuan-Hao Zhang, Min Zhou, Jing-Yi Hou, Rui Yang
The most frequent operation for anterior shoulder instability is the arthroscopic Bankart repair, which has a positive outcome and a low rate of complications. A variety of restoration procedures have been reported to reconstruct labral height and reproduce a dynamic concavity-compression reaction. The longitude-latitude loop is a knotless high-strength suture method that simultaneously tightens the joint capsule in the warp and weft direction and resists tearing. The suture method is safe and reproducible...
April 2023: Arthroscopy Techniques
https://read.qxmd.com/read/36932219/arthroscopic-bankart-repair-how-many-knotless-anchors-do-we-need-for-anatomic-reconstruction-of-the-shoulder-a-prospective-randomized-controlled-study
#40
JOURNAL ARTICLE
Johannes Buckup, Frederic Welsch, Stanislav Petchennik, Alexander Klug, Yves Gramlich, Reinhard Hoffmann, Thomas Stein
PURPOSE: The optimal strategy for surgical repair of traumatic anterior shoulder instability remains controversial. While several study groups have reported that the clinical and radiological outcomes of arthroscopic procedures performed with two anchors are not fully adequate, these conclusions are not supported by the findings published in other studies. A prospective randomized study was conducted to compare the structural and clinical outcomes of surgical procedures involving two vs...
March 17, 2023: International Orthopaedics
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