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Hip Labral Augmentation With Tibialis Anterior Tendon Allograft Using the Knotless Pull-Through Technique
David R Maldonado1, Jeffrey W Chen1, Ajay C Lall1
1American Hip Institute, Des Plaines, Illinois, U.S.A.
Arthroscopy Techniques
|February 12, 2020
Summary
Hip labral tears are common. Labral augmentation using an anterior tibialis tendon allograft offers a viable alternative to labral excision for restoring hip function.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomechanics
Background:
- The hip labrum is crucial for joint stability and function.
- Labral tears are the most frequent hip arthroscopy pathology.
- Labral preservation strategies are increasingly favored over excision.
Purpose of the Study:
- To describe a technique for arthroscopic hip labral augmentation.
- To present labral augmentation as an alternative to reconstruction or excision.
- To detail the use of an anterior tibialis tendon allograft and pull-through method.
Main Methods:
- Arthroscopic hip surgery.
- Labral augmentation procedure.
- Utilizing an anterior tibialis tendon allograft.
- Employing a pull-through technique for graft fixation.
Main Results:
- The described technique facilitates arthroscopic hip labral augmentation.
- This method aims to restore labral function and improve clinical outcomes.
- Details provided for surgeons performing labral augmentation.
Conclusions:
- Arthroscopic hip labral augmentation is a feasible surgical option.
- Anterior tibialis tendon allograft with pull-through technique is a viable method.
- Labral augmentation can be an effective alternative for specific hip pathologies.

