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Arthroscopic Ligamentum Teres Reconstruction in the Hip: Clinical Outcomes With Minimum 2-Year Follow-up

Authors

Domb BG, Walsh EG, Strok MJ, Kahana-Rojkind AH, Quesada-Jimenez R.

Background

The ligamentum teres is a small ligament inside the hip joint that helps provide stability. In some patients, this ligament can be torn and contribute to hip pain and instability. In more severe cases, it may be reconstructed using a tendon graft.

Methods

This study followed patients who underwent arthroscopic ligamentum teres reconstruction using a donor tendon graft. Patients were followed for at least 2 years, and their pain, function, satisfaction, and need for further surgery were evaluated.

Key Findings

  • Patients had significant improvement in pain and hip function
  • Most patients reported high satisfaction after surgery
  • Many patients achieved meaningful improvement in daily activities
  • About 95% of hips remained successful without needing further major surgery

Conclusion

Ligamentum teres reconstruction can improve pain and function in patients with severe ligament damage, with good early success rates.

What Does This Mean For Patients

For patients with a torn ligament inside the hip that does not respond to standard treatment, reconstruction may be an option. Early results show that most patients improve significantly and avoid further major surgery in the short term.