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Simultaneous acetabular labrum and ligamentum teres reconstruction: a case report
Brian J White1, Alexandra M Scoles1, Mackenzie M Herzog2
1Western Orthopaedics, 1830 Franklin Street, Suite 450, Denver, CO 80218-1217, USA.
Journal of Hip Preservation Surgery
|June 8, 2018
Summary
This study presents a surgical technique for hip instability, reconstructing the acetabular labrum and ligamentum teres. Early outcomes show improved stability and return to sports after 14 months.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Regenerative Medicine
Background:
- Recurrent hip instability and dislocation pose significant challenges in young athletes.
- Previous non-operative treatments failed in a 15-year-old male with recurrent left hip dislocations.
- Acetabular labrum and ligamentum teres tears contribute to hip joint instability.
Purpose of the Study:
- To present a surgical technique for simultaneous arthroscopic reconstruction of the acetabular labrum and ligamentum teres.
- To describe the early clinical outcomes of this combined reconstructive procedure.
- To evaluate hip stability, pain, and functional recovery in a patient with recurrent hip instability.
Main Methods:
- A 15-year-old male with recurrent hip dislocations underwent arthroscopic surgery.
- Acetabular labrum reconstruction utilized an iliotibial band allograft.
- Ligamentum teres reconstruction employed a tibialis anterior allograft.
Main Results:
- The patient reported significant improvement in hip stability, pain, and satisfaction 14 months post-surgery.
- Modified Harris Hip Score and Lower Extremity Functional Scale scores improved postoperatively.
- The patient returned to full sports participation without further hip instability episodes.
Conclusions:
- Simultaneous arthroscopic reconstruction of the acetabular labrum and ligamentum teres is a viable technique for managing recurrent hip instability.
- This approach can lead to improved hip stability, reduced pain, and successful return to athletic activities.
- Short-term outcomes in this case report are promising for patients with similar hip instability conditions.
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