Knotless Labral Repair Using the Inversion Technique in Hip Arthroscopy.
Matthew P Kolevar1, Cameron C Lingenfelter1, Michael S Rocca1
1Department of Orthopaedics, School of Medicine, University of Maryland, Baltimore, Maryland, USA.
Video Journal of Sports Medicine
|May 1, 2025
Summary
Hip arthroscopy with labral repair offers significant improvements in pain and function for patients with femoroacetabular impingement (FAI) syndrome. This technique reliably restores hip function and patient well-being.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
Background:
- Hip arthroscopy is a complex procedure with a learning curve, crucial for treating femoroacetabular impingement (FAI) syndrome.
- Labral repair is a key surgical component for FAI syndrome, with evolving techniques emphasizing ease of mastery and patient benefit.
Purpose of the Study:
- To describe and evaluate the outcomes of an inversion technique for hip labral repair in patients with FAI syndrome.
- To assess the technical feasibility and patient-reported outcomes following hip arthroscopy with labral repair and femoroplasty.
Main Methods:
- Standard hip arthroscopy approach with knotless anchors for labral repair.
- Inversion technique for suture placement to ensure proper labral positioning and restore the acetabular seal.
- Concurrent femoroplasty and capsule closure were performed in all cases.
Main Results:
- Patients experienced significant improvements in hip pain and function at 2 years post-surgery.
- A cohort of 62 patients showed marked improvements in physical function, activity levels, and pain.
- 47% of patients reported feeling completely recovered at the 2-year follow-up.
Conclusions:
- The inversion labral repair technique is effective in restoring the hip's suction seal and preserving normal function.
- Hip arthroscopy combined with this specific labral repair technique yields excellent outcomes in appropriately selected patients.
