Combined Arthroscopic Acetabular Labral Reconstruction With Dermal Allograft Hip Capsular Reconstruction

Area of Science:

• Orthopedic Surgery
• Arthroscopy
• Hip Preservation

Background:

• Hip instability post-arthroscopy is a rare complication.
• Iatrogenic capsular deficiency and labral insufficiency compromise hip joint stabilizers.
• Acetabular undercoverage exacerbates instability, leading to pain and degeneration.

Purpose of the Study:

• To describe an all-arthroscopic technique for simultaneous labral and capsular reconstruction.
• To address recurrent hip instability after prior arthroscopy.
• To optimize conditions for subsequent periacetabular osteotomy.

Main Methods:

• All-arthroscopic reconstruction of acetabular labrum using posterior tibialis tendon allograft.
• Dermal allograft used for anterior capsular reconstruction with knotless anchors.
• Sequential management of soft-tissue and osseous pathology.

Main Results:

• The technique restores capsular integrity and suction seal.
• Provides a reproducible, minimally invasive method for hip instability.
• Optimizes the hip joint for a staged periacetabular osteotomy.

Conclusions:

• This arthroscopic approach effectively addresses labral and capsular insufficiency.
• It offers a less morbid alternative to open reconstruction.
• Aims to delay or prevent degenerative joint progression in young, active patients.