Arthroscopic Ligamentum Teres Reconstruction Using Anterior Tibialis Allograft and the Tension-Slide Technique
Authors
Maldonado DR, Chen JW, Lall AC, Go CC, Walker-Santiago R, Rosinsky PJ, Shapira J, Domb BG
DOI: 10.1016/j.eats.2019.05.022
Background
The ligamentum teres (LT) was once thought to be an insignificant structure but is now recognized for its role in hip stability. This study describes a technique for reconstructing the LT using an anterior tibialis tendon allograft.
Methods
The technique uses the "tension-slide" method to fixate the graft to the acetabulum during arthroscopic surgery, aiming to restore the ligamentum teres in patients with tears.
Key Findings
This new technique for LT reconstruction is effective in restoring hip stability in cases where LT tears are severe, offering an alternative to traditional debridement procedures.
Conclusions
LT reconstruction using an anterior tibialis tendon allograft and the tension-slide technique provides a promising solution for patients with full-thickness LT tears.
What Does This Mean for Patients
If you have a torn ligamentum teres, this new reconstruction technique might be an option to improve stability and function in your hip.