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Workin' 9 to 5: Reproducible Acetabular Labral Reconstruction
Zachary V Braig1, Charles A Su2, F Winston Gwathmey2
1Department of Orthopaedic Surgery and Sports Medicine, Jordan-Young Institute, Virginia Beach, Virginia, USA.
Video Journal of Sports Medicine
|January 9, 2026
Summary
Acetabular labral reconstruction offers a safe and effective solution for labral deficiency, particularly in cases of femoroacetabular impingement (FAI). This reproducible technique ensures excellent patient outcomes and high satisfaction rates.
Area of Science:
- Orthopedic Surgery
- Hip Arthroscopy
- Regenerative Medicine
Background:
- Acetabular labral reconstruction is a key treatment for labral deficiency, though it presents surgical challenges.
- Femoroacetabular impingement (FAI) often involves symptomatic labral tearing with poor-quality, ossified, or hypoplastic labral tissue, necessitating reconstruction.
Purpose of the Study:
- To present a reproducible, safe, and efficient surgical technique for partial circumferential acetabular labral reconstruction.
- To detail critical steps including portal placement, acetabular rim preparation, suture management, graft passage, and fixation.
Main Methods:
- A step-by-step description of a novel technique for acetabular labral reconstruction.
- Emphasis on meticulous attention to surgical details for optimal graft incorporation and joint function.
Main Results:
- Patients undergoing this acetabular labral reconstruction for FAI and labral deficiency report significant improvements in patient-reported outcome measures.
- High patient satisfaction rates were achieved, comparable to those following traditional labral repair.
Conclusions:
- Acetabular labral reconstruction is a viable and effective option for patients with symptomatic labral tearing and deficiency.
- A reproducible, safe, and efficient surgical technique is crucial for managing this complex procedure and achieving favorable patient outcomes.
