How is a Hip Labral Repair Performed?
Arthroscopic hip surgery to repair the labrum of a hip has advanced in recent years and is becoming a popular treatment choice among surgeons. It has been noted to consistently yield positive outcomes for patients. Using arthroscopic techniques, which include small incisions and the insertion of a tiny camera and surgical tools, Dr. Padalecki will enter the hip joint and assess the injury. He will remove the loose fragments from within the joint and trim or repair the labral tear. This involves shaving and smoothing out the torn portion of the labrum (debridement) and reattaching the healthy segments with suture anchors (repair).
Depending on the size of the labral tear, Dr. Padalecki may implement a number of different approaches during the actual repair procedure. In larger and more complex cases that include cartilage damage, he may choose to use a labral fixation approach. This involves using specialized sutures and bioabsorbable anchors to complete the repair process. Alternatively, he may use a technique known as a labral reconstruction procedure for chronic cases where the labrum is so severely damaged that it is unable to be repaired. During this procedure, he will use a graft to reconstruct the damaged labrum. This graft will come either from the patient’s fascia or a cadaver. The goal of labral reconstruction surgery is to restore the functional anatomy of the native labrum, restore the normal biomechanics of the hip, and prevent further damage to the articular cartilage.
What Occurs After a Hip Labral Repair?
Post-op recovery following a hip labral repair will depend on the complexity of the surgery. Following arthroscopic surgery, the patient will be given a strict rehabilitation protocol to follow with a skilled physical therapist. Depending on the exact nature of the surgery, once physical therapy has been completed, most athletes are able to return to sports within 4-6 months.
For additional information on surgical hip labral repair, or to inquire about torn hip labrum treatment, please contact the Austin, Texas orthopedic office of hip surgeon Dr. Jeff Padalecki.