Concurrent Arthroscopic Revision of the Hip Labral and Anterior Capsular Reconstruction Utilizing Iliotibial Band Autograft

The labrum and capsule are indispensable structures for stability and the prevention of arthritis in the hip. Subsequent revision has been performed on patients who went through the failure of previous hip arthroscopic surgery, which caused the defect of the labrum and capsule, leading to continued...

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Main Authors: Taoran Jin, M.D., Jin Zhang, M.D.
Format: Article
Language:English
Published: Elsevier 2025-05-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724005346
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author Taoran Jin, M.D.
Jin Zhang, M.D.
author_facet Taoran Jin, M.D.
Jin Zhang, M.D.
author_sort Taoran Jin, M.D.
collection DOAJ
description The labrum and capsule are indispensable structures for stability and the prevention of arthritis in the hip. Subsequent revision has been performed on patients who went through the failure of previous hip arthroscopic surgery, which caused the defect of the labrum and capsule, leading to continued hip pain and dysfunction postoperatively. For a select few patients, the labrum’s rerupture is beyond the scope of conventional suturing techniques, necessitating a reconstructive procedure to re-establish its integrity. Additionally, an attempt at secondary closure of the capsule can be challenging because of capsular limb adherence to the surrounding soft tissues. We describe a technique for simultaneous arthroscopic labral and anterior hip joint capsule reconstruction using an iliotibial band autograft. This procedure allows simultaneous reconstruction of the hip labrum and capsule stability with minimally invasive approaches to revise and re-establish the structural stability of the hip joint.
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spelling doaj-art-84a627d58d5c4d1eae9cef33556d04a62025-08-20T03:10:30ZengElsevierArthroscopy Techniques2212-62872025-05-0114510336610.1016/j.eats.2024.103366Concurrent Arthroscopic Revision of the Hip Labral and Anterior Capsular Reconstruction Utilizing Iliotibial Band AutograftTaoran Jin, M.D.0Jin Zhang, M.D.1Department of Orthopedics and Rehabilitation, Beijing Bo’ai Hospital, China Rehabilitation Research Center, Capital Medical University, Beijing, ChinaDepartment of Sports Medicine, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China; Address correspondence to Jin Zhang, M.D., Department of Sports Medicine, Beijing Jishuitan Hospital, No. 31 Xinjiekou East Street, Xicheng District, Beijing (100035), China.The labrum and capsule are indispensable structures for stability and the prevention of arthritis in the hip. Subsequent revision has been performed on patients who went through the failure of previous hip arthroscopic surgery, which caused the defect of the labrum and capsule, leading to continued hip pain and dysfunction postoperatively. For a select few patients, the labrum’s rerupture is beyond the scope of conventional suturing techniques, necessitating a reconstructive procedure to re-establish its integrity. Additionally, an attempt at secondary closure of the capsule can be challenging because of capsular limb adherence to the surrounding soft tissues. We describe a technique for simultaneous arthroscopic labral and anterior hip joint capsule reconstruction using an iliotibial band autograft. This procedure allows simultaneous reconstruction of the hip labrum and capsule stability with minimally invasive approaches to revise and re-establish the structural stability of the hip joint.http://www.sciencedirect.com/science/article/pii/S2212628724005346
spellingShingle Taoran Jin, M.D.
Jin Zhang, M.D.
Concurrent Arthroscopic Revision of the Hip Labral and Anterior Capsular Reconstruction Utilizing Iliotibial Band Autograft
Arthroscopy Techniques
title Concurrent Arthroscopic Revision of the Hip Labral and Anterior Capsular Reconstruction Utilizing Iliotibial Band Autograft
title_full Concurrent Arthroscopic Revision of the Hip Labral and Anterior Capsular Reconstruction Utilizing Iliotibial Band Autograft
title_fullStr Concurrent Arthroscopic Revision of the Hip Labral and Anterior Capsular Reconstruction Utilizing Iliotibial Band Autograft
title_full_unstemmed Concurrent Arthroscopic Revision of the Hip Labral and Anterior Capsular Reconstruction Utilizing Iliotibial Band Autograft
title_short Concurrent Arthroscopic Revision of the Hip Labral and Anterior Capsular Reconstruction Utilizing Iliotibial Band Autograft
title_sort concurrent arthroscopic revision of the hip labral and anterior capsular reconstruction utilizing iliotibial band autograft
url http://www.sciencedirect.com/science/article/pii/S2212628724005346
work_keys_str_mv AT taoranjinmd concurrentarthroscopicrevisionofthehiplabralandanteriorcapsularreconstructionutilizingiliotibialbandautograft
AT jinzhangmd concurrentarthroscopicrevisionofthehiplabralandanteriorcapsularreconstructionutilizingiliotibialbandautograft