Arthroscopic Triple Reconstruction in the Hip Joint: Restoration of Soft-Tissue Stabilizers in Revision Surgery for Gross Instability

Arthroscopic Triple Reconstruction in the Hip Joint: Restoration of Soft-Tissue Stabilizers in Revision Surgery for Gross Instability

Authors

Ankem HK, Diulus SC, Meghpara MB, Rosinsky PJ, Shapira J, Maldonado DR, Lall AC, Domb BG
DOI: 10.1016/j.eats.2021.01.018

Background

Gross hip instability can occur after high-impact injuries or even after prior hip arthroscopy. When soft-tissue stabilizers (like the labrum, ligamentum teres, and capsule) are compromised, the hip becomes unstable.

Methods

This study presents a step-by-step approach for arthroscopic triple reconstruction of the labrum, ligamentum teres, and hip capsule in patients with gross hip instability. The technique is focused on restoring these soft-tissue stabilizers.

Key Findings

The technique of triple reconstruction is safe and effective for treating patients with severe hip instability, particularly when previous surgeries have caused damage to these stabilizers.

Conclusions

Arthroscopic triple reconstruction offers a promising solution for patients with gross hip instability caused by damaged soft tissues, especially after prior unsuccessful surgeries.

What Does This Mean for Patients

If you have experienced hip instability or dislocations, and previous surgeries have failed, triple reconstruction could be a suitable option to restore hip function and stability.