Arthroscopic Treatment of Femoroacetabular Impingement Using Labral Reconstruction with Capsular Autograft.

Autor:	DeFroda SF; Division of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., Kester BS; Division of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., Clapp IM; Division of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., Newhouse AC; Division of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., Nho SJ; Division of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
Jazyk:	angličtina
Zdroj:	Arthroscopy techniques [Arthrosc Tech] 2021 Sep 21; Vol. 10 (10), pp. e2375-e2381. Date of Electronic Publication: 2021 Sep 21 (Print Publication: 2021).
DOI:	10.1016/j.eats.2021.07.015
Abstrakt:	The acetabular labrum is essential for stability during physiologic motion of the hip. Labral repairs frequently are attempted in cases of primary tears, although labral reconstruction is an important alternative in the revision setting or in the primary setting when the tissue is unsalvageable. Labral reconstruction has been shown to restore the hip's suction-seal and fluid pressurization to that of the premorbid state, and cohort studies have demonstrated significantly improved patient-reported outcomes at midterm follow-up. Notably, the cost is of consideration during any reconstruction, and techniques have been described using both allograft and autograft sources. Autograft sources include the iliotibial band, ligamentum teres, gracilis tendon, and hip capsule. A previously described technique using the capsule was noted to hinder routine capsular closure. We present an alternative method for labral reconstruction using hip capsular tissue that is easily performed and allows for routine capsular closure. (© 2021 Published by Elsevier on behalf of the Arthroscopy Association of North America.)
Databáze:	MEDLINE
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