title: Arthroscopic Labral Reconstruction of the Hip Using Iliotibial Band Allograft and Front-to-Back Fixation Technique.
abstract: Labral repair has been shown to be an effective treatment option with excellent early outcomes; however, in cases of severe labral damage or when the labral tissue is too large or diminutive, labral repair may be less effective. The purpose of this article is to present a modified technique for hip labral reconstruction using iliotibial band allograft tissue and a front-to-back fixation technique. The described technique is modified from the original report of a technique for arthroscopic labral reconstruction. The front-to-back technique allows the surgeon to make a graft that is longer than necessary and cut excess graft after front-to-back fixation, resulting in the correct graft size and a reproducible procedure. Allograft tissue offers several advantages, including the ability to control graft thickness and length, as well as the ability to eliminate donor-site morbidity. This procedure adds to the available techniques for treatment of labral pathology by providing a labral reconstruction technique using allograft tissue.
authors.affiliation: Western Orthopaedics, Denver, Colorado, U.S.A.
authors.forename: Brian J
authors.initials: BJ
authors.lastname: White
authors.affiliation: Professional Research Institute for Sports Medicine, LLC, Chapel Hill, North Carolina, U.S.A.
authors.forename: Mackenzie M
authors.initials: MM
authors.lastname: Herzog