1. Bridging Suture Repair for Acetabular Chondral Carpet Delamination
Mitsunori Kaya, M.D., Toshiaki Hirose, M.D., Toshihiko Yamashita, M.D. 
Arthroscopy Techniques 
Volume 4, Issue 4, Pages e345-e348 (August 2015)
DOI: /j.eats
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

2. Fig 1
The surgeon creates a sulcus using a liberator, ensuring not to further damage the overlying delaminated cartilage. View of right hip, with camera positioned in anterolateral portal. (AL, acetabular labrum; AR, acetabular rim; C, capsule.)
Arthroscopy Techniques 2015 4, e345-e348DOI: ( /j.eats )
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

3. Fig 2
Microfracture is performed using an awl to generate an environment for repair and regeneration of cartilage. View of right hip, with camera positioned in anterolateral portal. (AR, acetabular rim; C, capsule.)
Arthroscopy Techniques 2015 4, e345-e348DOI: ( /j.eats )
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

4. Fig 3
Two soft anchors are placed at the peripheral ends of the delaminated cartilage (arrows) in the medial acetabulum. A curved drill guide is used to gain access to the lesion. View of right hip, with camera positioned in anterolateral portal. (AL, acetabular labrum; CD, carpet delamination; F, femoral head.)
Arthroscopy Techniques 2015 4, e345-e348DOI: ( /j.eats )
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

5. Fig 4
Four limbs of suture are passed through the labrum in a piercing fashion with a suture passer. The arrows indicate the peripheral ends of the delaminated cartilage. View of right hip, with camera positioned in anterolateral portal. (CD, carpet delamination; F, femoral head).
Arthroscopy Techniques 2015 4, e345-e348DOI: ( /j.eats )
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

6. Fig 5
A threaded knotless anchor is used to secure both limbs of the sutures into a predrilled pilot hole on the extra-articular side of the acetabular rim. View of right hip, with camera positioned in anterolateral portal.
Arthroscopy Techniques 2015 4, e345-e348DOI: ( /j.eats )
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

7. Fig 6
Without traction, the hip is taken through a dynamic examination to verify that the labrum sits on the femoral head to provide a suction seal (arrows). View of right hip, with camera positioned in midanterior portal. (AR, acetabular labrum; F, femoral head.)
Arthroscopy Techniques 2015 4, e345-e348DOI: ( /j.eats )
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions