Benedict U. Nwachukwu, M. D. , M. B. A. , Kyle Alpaugh, M. A

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Presentation transcript:

All-Arthroscopic Reconstruction of the Acetabular Labrum by Capsular Augmentation Benedict U. Nwachukwu, M.D., M.B.A., Kyle Alpaugh, M.A., Frank McCormick, M.D., Scott D. Martin, M.D. Arthroscopy Techniques Volume 4, Issue 2, Pages e127-e131 (April 2015) DOI: 10.1016/j.eats.2014.11.016 Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 1 Flow diagram for labral augmentation using adjacent capsular tissue. Arthroscopy Techniques 2015 4, e127-e131DOI: (10.1016/j.eats.2014.11.016) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 2 Severely damaged labral tissue (arrow), not amenable to repair by conventional methods, and associated chondrolabral disruption with chondral flap (asterisk). Arthroscopy Techniques 2015 4, e127-e131DOI: (10.1016/j.eats.2014.11.016) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 3 Capsular elevation is performed with a knife rasp through the Dienst portal. Elevation of the capsular tissue (arrow) shows an underlying pincer lesion (asterisk). Arthroscopy Techniques 2015 4, e127-e131DOI: (10.1016/j.eats.2014.11.016) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 4 Looped suture construct (asterisk) bringing together elevated capsule (double arrows) and remaining labral tissue (single arrow). Arthroscopy Techniques 2015 4, e127-e131DOI: (10.1016/j.eats.2014.11.016) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 5 Completed labral reconstruction by capsular augmentation (arrow) and chondral flap (asterisk). Arthroscopy Techniques 2015 4, e127-e131DOI: (10.1016/j.eats.2014.11.016) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 6 Preservation of and microfracture beneath chondral flap. Arthroscopy Techniques 2015 4, e127-e131DOI: (10.1016/j.eats.2014.11.016) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions