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Arthroscopic Ligamentum Teres Reconstruction of the Hip in Ehlers-Danlos Syndrome: A Case Study

Authors

Hammarstedt JE, Redmond JM, Gupta A, Domb BG
DOI: 10.5301/hipint.5000228

Purpose

To report the first case of arthroscopic ligamentum teres (LT) reconstruction in a patient with Ehlers-Danlos syndrome (EDS) suffering from hip instability and pain.

Methods

A 43-year-old female with EDS underwent arthroscopic LT reconstruction using a tibialis anterior allograft, combined with labral repair and capsular plication. Outcomes were measured pre- and postoperatively at 1 year with validated hip scores and pain assessments.

Key Findings

The patient showed marked improvement in hip stability, reduced pain, and improved function at 1-year follow-up.

Conclusion

LT reconstruction may be a viable surgical option to restore hip stability and reduce pain in patients with EDS, a group with traditionally difficult-to-treat joint hypermobility.

What This Means for Patients

Patients with EDS and symptomatic hip instability may benefit from ligament reconstruction surgery, offering a potential new treatment avenue to improve quality of life and joint function.