Current Concepts in Labrai Repair and Refixation: Anatomical Approach to Labrai Management

摘要

Arthroscopic labrai repair and refixation have garnered much attention over the past several years. Restoration of suction seal and native iabral function has been an evolving focus for achieving excellent results in hip preservation surgery. Authors have reported using several labrai management techniques: debridement, labralization, looped suture fixation, base stitch fixation, inversion-eversion, and reconstruction.The optimal technique is yet to be determined. Absolute indications for labrai repair are symptomatic intra-ar-ticular pain, joint space >2 mm, and failed conservative management. Extreme attention is given to identifying and addressing the cause, whether it be acute or repetitive trauma, instability, orfemoroacetabular impingement. In this article, we discuss indications for labrai repair; describe Dr. Mather's preoperative planning, labrai repair technique, and postoperative care; and review published outcomes and future trends in labrai repair