Enhancing Labral Healing in Arthroscopic Hip Surgery: The Marrow Venting Technique

The significance of addressing labral tears cannot be overstated given that the labrum plays a crucial role in preventing or mitigating the onset of osteoarthritis. Traditionally, labral repair has involved capsule elevation followed by acetabular rim trimming and decortication to optimize healing o...

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Main Authors: Ady H. Kahana-Rojkind, M.D., Juan Diego Rodriguez, M.D., Drashti Sikligar, M.Eng., Tyler R. McCarroll, M.D., Roger Quesada-Jimenez, M.D., Benjamin G. Domb, M.D.
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724005073
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author Ady H. Kahana-Rojkind, M.D.
Juan Diego Rodriguez, M.D.
Drashti Sikligar, M.Eng.
Tyler R. McCarroll, M.D.
Roger Quesada-Jimenez, M.D.
Benjamin G. Domb, M.D.
author_facet Ady H. Kahana-Rojkind, M.D.
Juan Diego Rodriguez, M.D.
Drashti Sikligar, M.Eng.
Tyler R. McCarroll, M.D.
Roger Quesada-Jimenez, M.D.
Benjamin G. Domb, M.D.
author_sort Ady H. Kahana-Rojkind, M.D.
collection DOAJ
description The significance of addressing labral tears cannot be overstated given that the labrum plays a crucial role in preventing or mitigating the onset of osteoarthritis. Traditionally, labral repair has involved capsule elevation followed by acetabular rim trimming and decortication to optimize healing of the labrum to the acetabular rim. However, in certain patients, such as those with borderline dysplasia, the goal is to preserve as much of the acetabular rim as possible to prevent further instability. This study aims to present an arthroscopic marrow venting technique designed to optimize healing during hip labral repair. The procedure involves targeted marrow stimulation by micro-drilling along the acetabular rim to release and activate biological healing factors, thereby promoting the integration of the labrum and restoring the seal around the hip. This approach eliminates the need for capsule elevation and rim trimming, which preserves bone and capsular tissue and reduces the risk of iatrogenic instability.
format Article
id doaj-art-55fdb90ea823418fa36ecd8060fa0294
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issn 2212-6287
language English
publishDate 2025-04-01
publisher Elsevier
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series Arthroscopy Techniques
spelling doaj-art-55fdb90ea823418fa36ecd8060fa02942025-08-20T03:14:06ZengElsevierArthroscopy Techniques2212-62872025-04-0114410334710.1016/j.eats.2024.103347Enhancing Labral Healing in Arthroscopic Hip Surgery: The Marrow Venting TechniqueAdy H. Kahana-Rojkind, M.D.0Juan Diego Rodriguez, M.D.1Drashti Sikligar, M.Eng.2Tyler R. McCarroll, M.D.3Roger Quesada-Jimenez, M.D.4Benjamin G. Domb, M.D.5American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.; American Hip Institute, Chicago, Illinois, U.S.A.; Address correspondence to Benjamin G. Domb, M.D., American Hip Institute, 999 E Touhy Ave, Ste 450, Des Plaines, IL 60018, U.S.A.The significance of addressing labral tears cannot be overstated given that the labrum plays a crucial role in preventing or mitigating the onset of osteoarthritis. Traditionally, labral repair has involved capsule elevation followed by acetabular rim trimming and decortication to optimize healing of the labrum to the acetabular rim. However, in certain patients, such as those with borderline dysplasia, the goal is to preserve as much of the acetabular rim as possible to prevent further instability. This study aims to present an arthroscopic marrow venting technique designed to optimize healing during hip labral repair. The procedure involves targeted marrow stimulation by micro-drilling along the acetabular rim to release and activate biological healing factors, thereby promoting the integration of the labrum and restoring the seal around the hip. This approach eliminates the need for capsule elevation and rim trimming, which preserves bone and capsular tissue and reduces the risk of iatrogenic instability.http://www.sciencedirect.com/science/article/pii/S2212628724005073
spellingShingle Ady H. Kahana-Rojkind, M.D.
Juan Diego Rodriguez, M.D.
Drashti Sikligar, M.Eng.
Tyler R. McCarroll, M.D.
Roger Quesada-Jimenez, M.D.
Benjamin G. Domb, M.D.
Enhancing Labral Healing in Arthroscopic Hip Surgery: The Marrow Venting Technique
Arthroscopy Techniques
title Enhancing Labral Healing in Arthroscopic Hip Surgery: The Marrow Venting Technique
title_full Enhancing Labral Healing in Arthroscopic Hip Surgery: The Marrow Venting Technique
title_fullStr Enhancing Labral Healing in Arthroscopic Hip Surgery: The Marrow Venting Technique
title_full_unstemmed Enhancing Labral Healing in Arthroscopic Hip Surgery: The Marrow Venting Technique
title_short Enhancing Labral Healing in Arthroscopic Hip Surgery: The Marrow Venting Technique
title_sort enhancing labral healing in arthroscopic hip surgery the marrow venting technique
url http://www.sciencedirect.com/science/article/pii/S2212628724005073
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