Carlos Tobar, Jose Tomas Bravo, Gonzalo Escobar and Dante Parodi*
Department of Orthopaedics, REDSALUD Chile, Chile
*Corresponding Author:Dante Parodi, Department of Orthopaedics, REDSALUD Chile, Chile.
Received: May 20, 2022; Published: June 13, 2022
Introduction: Labral injury repair has been a matter of interest in hip preservation surgery. Multiples fixations methods using anchors have been described. A single labral perforation avoids the loss of the sealing and decreases labral tear risk, whereas a double-loop technique avoids shearing the labrum. Nevertheless, it is still unclear what the best method is to perform the repair.
Objective: We present a technique for fixation of double-loop labral repair, having a unique enter labral site and performed through a single gate, providing joint sealing, resistance to pull out, and lack of eversion or labrum stenosis.
Surgical Technique: By classic anterolateral and a modified anterior portal, minimal capsulotomy is performed with the preservation of an interportal bridge. Superficial drilling of the acetabular rim is performed with a 5.5mm arthroscopic circular burr. Through an 8.5mm cannula, the anchor is placed in the acetabular rim. The suture pin is threaded with the strand, penetrating the labrum close to the chondrolabral junction or through it, creating a suture loop in the intra-articular space. The strand is released from the suture pin, which is removed, and re-entered through the intra-articular space, capturing the loop, and taking it to the extra-articular zone. The suture pin is re-inserted through the loop, and the strand is captured, which is slid through the loop and taken out of the cannula. The result is a double beam knot made with the working strand and the strand pole. The corresponding knots are made and slid according to the traditional technique.
Conclusion: Double-loop and single perforation give the surgeon versatility and capability of fixation in a broad spectrum of labral injuries, allowing a resolution by an arthroscopic standard, recovering the joint seal without any further complication, only limited by the proper set of the anchor and the tightness of the knot.
Keywords: Arthroscopic; Hip; Perforation; Double Loop
Citation: Dante Parodi., et al. “Arthroscopic Repair of Hip Labrum Using a Technique of Single Perforation and Double Loop".Acta Scientific Orthopaedics 5.7 (2022): 49-52.
Copyright: © 2022 Dante Parodi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.