title: Transosseous Acetabular Labral Repair as an Alternative to Anchors.
abstract: Labral tears are the most common pathology in patients undergoing hip arthroscopy and the most common cause of mechanical hip symptoms. Labral repair techniques have been described in the literature using suture anchors placed as close as possible to the acetabular rim without penetrating the articular surface. Optimal surgical technique for labral repair is very important, and an inappropriate entry point and guide angulation may lead to intra-articular penetration of the anchor, chondral damage, anchor loosening, or inadequate fixation. A shallow dysplastic hip, the drilling trajectory, the narrow width of the acetabular rim, or some specific anatomic variations may generate difficulty during anchor placement. Suture anchors themselves have been associated with several significant complications, including rim fracture, osteolysis, enlargement of drill holes, and infection. The treatment of labral lesions with transosseous suture is an alternative to anchor use, eliminating the need for anchors and avoiding anchor-associated complications. This technique offers versatility to surgeons and is more cost-effective for patients and health services. We aim to describe the indications and technique for transosseous labral repair without anchors.
authors.affiliation: Hospital Clínica Mompía, Santander, Spain.
authors.forename: Luis
authors.initials: L
authors.lastname: Pérez-Carro
authors.affiliation: Hospital Los Angeles, Torreon, Mexico.
authors.forename: Andres Gonzalez
authors.initials: AG
authors.lastname: Cabello
authors.affiliation: Suez Canal University, Ismailia, Egypt.
authors.forename: Mohamed Ibrahim
authors.initials: MI
authors.lastname: Rakha
authors.affiliation: Hospital Clínica Mompía, Santander, Spain.
authors.forename: Sarthak
authors.initials: S
authors.lastname: Patnaik
authors.affiliation: Hospital Civil de Guadalajara, Guadalajara, Mexico.
authors.forename: Elias
authors.initials: E
authors.lastname: Centeno
authors.affiliation: Hospital Del Parque, Chihuahua, Mexico.
authors.forename: Victor
authors.initials: V
authors.lastname: Miranda
authors.affiliation: Hospital Clínica Mompía, Santander, Spain ; Hospital Clínica Mompía, Cantabria, Spain.
authors.forename: Ana Alfonso
authors.initials: AA
authors.lastname: Fernández