Hip Labral Reconstruction
What is the Hip Labrum?
Labrum is a ring of strong fibrocartilaginous tissue lining around the socket of the hip joint. Labrum serves many functions where it acts as shock absorber, lubricates the joint, and distributes the pressure equally. It holds the head of the femur in place and prevents the lateral and vertical movement of the femur head within the joint. It also deepens the acetabular cavity and offers stability against femoral head translation.
Labral tears may be caused by trauma, femoroacetabular impingement (FAI), hip hypermobility, dysplasia, and degeneration. It is one of the rare conditions and is common in athletes playing sports such as ice hockey, soccer, golf and ballet. Structural abnormalities may also cause hip labral tear.
Symptoms of Labral Tears
You may experience hip pain, clicking and locking of the joint and restricted range of motion. You may also feel a dull pain on movement of the hip joint that may not subside on rest.
Treatment Options for a Hip Labral Tear
The treatment for a hip labral tear will vary depending on the severity of the condition. A minor labral tear resolves within a few weeks with the help of non-surgical treatments.
However, severe cases may require arthroscopic surgery to remove or repair the torn portion of the labrum.
Hip Labral Reconstruction
Hip arthroscopy, also referred to as keyhole surgery or minimally invasive surgery, is a surgical procedure in which an arthroscope, a narrow tube with a tiny camera on the end, is used to assess and repair damage to the hip.
The surgery is performed under general, spinal or local anesthesia.
Your surgeon will make 2 or 3 small incisions around the hip joint area. The arthroscope is inserted into the hip joint through one of the incisions to view the labral tear. The camera attached to the arthroscope displays the image of the joint on the monitor. A sterile solution will be pumped into the joint in order to have a clear view and provide room to work. Through the other incisions, specially designed instruments are inserted. Your surgeon repairs the torn tissue by sewing it back together or removes the torn piece all together, depending upon the cause and extent of the tear. After the completion of the procedure, the arthroscope and instruments are removed and the incisions are closed.
Postoperative Care following Hip Labral Reconstruction
Following the surgery, you will be given instructions on caring for your incisions, activities to avoid and exercises to perform for a fast recovery and a successful outcome. Physical therapy will be recommended by your doctor to restore your strength and mobility. Your doctor will also prescribe pain medications to keep you comfortable.