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Arthroscopic Hip Labral Reconstruction with Gracilis Autograft
Dean K. Matsuda, MD, Los Angeles, CA
Publisher: American Academy of Orthopaedic Surgeons
Arthroscopic Hip Labral Reconstruction with Gracilis AutograftOrthopedics & Orthopedic Surgery

AWARD WINNER!

Area of Focus: Arthroscopy and Sports Medicine

Recent evidence suggests that the labrum is vital to hip function and preservation. However, sometimes the hip labrum is so damaged, degenerated, or deficient that anatomical and functional restoration by conventional repair or re-fixation is severely compromised. This video shows an innovative arthroscopic reconstruction of the hip labrum using the gracilis tendon harvested via a small knee incision.

The video begins with an introduction to and rationale for the procedure. Cameras capture the patient setup, diagnostics, debridement and rim trimming/ preparation segments, external views of the gracilis autograft harvest and preparation, graft insertion, and arthroscopic fixation. The procedure is performed via two arthroscopic hip portals without any inter-portal exchange, thus permitting economy of motion. Arthroscopic orientation and important anatomic structures that should be avoided are highlighted throughout the video. Technical pearls and pitfalls are detailed, and the rationale, key surgical points, and rehabilitation protocols are included.

The athletic patient shown in the video has a severely damaged and ossified labrum as well as coxa profunda or global femoroacetabular impingement. With the aid of a fluoroscopic templating technique, his rim is arthroscopically trimmed, even into the less common posterior region. The resultant labral reconstruction successfully spans a large labral defect and restores an anatomic fluid seal to a well-preserved femoral head. The video then shows portions of the arthroscopic femoral head-neck resection osteoplasty, ending with a dynamic arthroscopic confirmation that the on-going impingement has been eliminated, which we consider important to the protection of the new labral construct.

VideoDisc Arthroscopic Hip Labral Reconstruction with Gracilis Autograft

$158.00  
Format Software
Medium DVD
ISBN 9780892037322
Copyright Year 2010
Video Length 26 Minutes
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RAmEx Ars Medica, Inc. is a distributor of Scientific Technical Engineering Medical Reference Books Software Videos Online Courses Computers Medical Supplies ramex.com SALE DISCOUNT LOWEST PRICE CLEARANCE