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Labral Tears

When surgery is needed, arthroscopic repair of the labrum can effectively treat pain, and may restore the lubrication, function and stability of the hip joint. Labral repair is performed using small anchors with sutures attached. The anchors are placed into the bone, and the sutures are used to sew the labrum back to the acetabulum. This highly technical procedure allows sufficient restoration of the hip's native anatomy essential to recreating the hips suction seal. Labral repair techniques, which have been developed at the American Hip Institute & Orthopedic Specialists, are focused on restoration of the native anatomy and function of the labrum.Dr. Domb continues to research the most innovative and optimal techniques for hip arthroscopy and labral repair. In rare cases, when the labrum is found irreparable, it can be reconstructed. Similar to an ACL reconstruction, the hamstring tendon is used from the same sided knee. Anchors are used to secure the labral graft to restore the function of the native hip joint.

Hip Brace


Hip arthroscopy is generally an outpatient procedure, with fairly minimal pain. The average postoperative course involves 2 weeks in a hip brace and 2 weeks on crutches to protect the work done on the hip. A brace may be required for 6 weeks, and crutches may be required for up to 8 weeks if the hip's condition requires a more extensive surgery. Most patients begin riding a stationary bicycle and begin physical therapy the day after surgery. Patients can return to work as soon as a 2-3 days after their procedure, depending on their work type. Athletes can expect to return to sports between 3-6 months after surgery. High-level athletes participate in an intense physical therapy course after surgery, gradually increasing their workout intensity.


Publications by Dr. Domb on Labral Tears

Surgical Videos Addressing Labral Tears: