title: Reconstruction of Massive Posterior Nonrepairable Acetabular Labral Tears With Peroneus Brevis Tendon Allograft: Arthroscopy-Assisted Mini-Open Approach.
abstract: Many of the described labral-reconstruction procedures are purely arthroscopic. This approach only allows segmentary reconstructions. For more extensive reconstructions, surgical dislocation of the hip still represents the more suitable approach. We present an arthroscopy-assisted procedure combined with an anterior mini-open approach, which could be considered for reconstruction of nonrepairable labral lesions located in the posterior aspect of the acetabulum and massive reconstructions in cases of global-pincer femoroacetabular impingement and protrusio acetabuli. Our technique saves the morbidity that might be related to the surgical dislocation of the hip and incorporates a peroneus brevis tendon allograft. This option may restore the anatomy and labral function without morbidity at the donor site, as well as remove graft length restrictions during massive reconstructions.
authors.affiliation: University Hospital Quiron Dexeus, Hip Unit - Department of Orthopaedic Surgery, Barcelona, Spain.
authors.forename: Esther
authors.initials: E
authors.lastname: Moya
authors.affiliation: Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain; Hospital General de Catalunya, Barcelona, Spain.
authors.forename: Luis Gerardo
authors.initials: LG
authors.lastname: Natera
authors.affiliation: University Hospital Quiron Dexeus, Hip Unit - Department of Orthopaedic Surgery, Barcelona, Spain.
authors.forename: Carlomagno
authors.initials: C
authors.lastname: Cardenas
authors.affiliation: University Hospital Quiron Dexeus, Hip Unit - Department of Orthopaedic Surgery, Barcelona, Spain.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Astarita
authors.affiliation: University Hospital Quiron Dexeus, Hip Unit - Department of Orthopaedic Surgery, Barcelona, Spain.
authors.forename: Vittorio
authors.initials: V
authors.lastname: Bellotti
authors.affiliation: University Hospital Quiron Dexeus, Hip Unit - Department of Orthopaedic Surgery, Barcelona, Spain.
authors.forename: Manel
authors.initials: M
authors.lastname: Ribas