Originally described in 2009[1] using the ligamentum teres capitis, arthroscopic labral reconstruction using a variety of graft tissue has demonstrated promising short and mid-term clinical outcomes.
[7] The labrum, when damaged, is also a pain generator, due to a large concentration of type II pain-associated free nerve endings found throughout the tissue, most pronounced at the labral base.
Since then, surgeons have reported on a variety of graft choices and surgical techniques, and an arthroscopic approach has usurped open dislocation, due to fewer complications, a lower need for revision surgery and quicker recovery time.
[5] It is most often utilized in order to surgically correct the damage resulting from femoroacetabular impingement (FAI), a condition in which the femoral head articulates imperfectly with the acetabular cup.
A recent multicenter epidemiological study found that the majority of patients undergoing labral reconstruction are middle-aged females whose pain is localized around the groin.
Brian White and Andrew Wolff, two sports medicine trained surgeons specializing in hip arthroscopy, both prefer the utilization of allograft tissue.
[12] There was also concern that despite resection of the visibly damaged tissue there existed the possibility for underresection, which could lead to persistent pain despite restoration of the labral biomechanics.
[12] This technique has shown promising outcomes when utilized in patients whose native labral tissue is far too damaged for repair or debridement.
A new postless table designed by Stryker has nearly eliminated the risk of postoperative saddle parasthesia, which was previously a common complication.
Post-operative deep-vein thrombosis is also possible, but the rate of this complication can be minimized through the use of blood thinning medications and early ambulation.