By General Info
Hip Arthroscopy is a highly specialized and technically demanding procedure. This should be done by surgeons with extensive experience. Some conditions, which previously were not treated or required major open surgery, can now be performed using this technique. It is a useful diagnostic tool in investigation of hip pain.
Treatment of Labral Tears:
The decision to remove labral tissue is based upon the location, chronicity, and vascularity of the injured fibrocartilage. Attempts are made to preserve as much healthy labral tissue as possible.
a. Labral Debridement:
If the quality of the labral tissue is poor (crushed, erythematous, ossified) we perform a debridement of the labrum. This is done by using a rotating shaver in the joint that is able to “shave” the beat up labrum and with the use of a suction, remove the fragments from the joint.
b. Labral Refixation:
If the quality of the labral tissue is adequate, an anchor is then placed into the bone (acetabular rim). The suture attached to the anchor is then fed around the labral tissue and tied down to the acetabulum. We do use a bioabsorbable suture anchor as compared to metal for this repair. The goal of this refixation procedure is for the once torn labrum to scar down the acetabulum and remain there once the suture dissolves.