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Diagnosis and Management of Femoroacetabular Impingement pp 163–172Cite as

Reconstructive Techniques in FAI Surgery

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Abstract

Reconstructive procedures including labral reconstruction, ligamentum teres reconstruction, and capsule reconstruction have recently been described. These advanced procedures were developed to treat more difficult pathologies, which appear to increase as the number of hip arthroscopies increase. Previous research has shown that loss of labral tissue can cause detrimental effects on the health of the hip joint, particularly the loss of the sealing function for fluid mechanics. In patients, where previous labral debridement has resulted in labral deficiency, labral reconstruction using the iliotibial band autograft can provide the patient with improved clinical function. In addition, the labral reconstruction has been shown to help combat some of the effects of labral deficiency. The hip capsulotomy is often completed during arthroscopy to increase visualization. In some patients, capsular incisions have resulted in a deficient capsule, causing a range of presentations from frank instability to the emerging concept of micro-instability.. This chapter describes a technique to reconstruct or augment the capsule. In addition, a technique to reconstruct the ligamentum teres and review early reports of outcomes will be included in the chapter.

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Author information

Authors and Affiliations

  1. Steadman Clinic and Steadman Philippon Research Institute, Vail, CO, USA

    Marc J. Philippon MD (Orthopaedic Surgeon)

  2. Center for Outcomes-based Orthopaedic Research, Steadman Philippon Research Institute, 181 West Meadow Suite 1000, Vail, CO, USA

    Karen K. Briggs MPH

Authors
  1. Marc J. Philippon MD
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  2. Karen K. Briggs MPH
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Corresponding author

Correspondence to Marc J. Philippon MD .

Editor information

Editors and Affiliations

  1. McMaster University, Hamilton, Ontario, Canada

    Olufemi R. Ayeni

  2. Hosp, Academy University of Gothenburg, Dept. of Orthopaedics, Sahlgrenska Univ Hosp, Academy University of Gothenburg, Gothenburg, Sweden

    Jón Karlsson

  3. Steadman Clinic, Ste 1000, Steadman Philippon Research Inst Steadman Clinic, Ste 1000, Vail, Colorado, USA

    Marc J Philippon

  4. Stanford University Dept of Orthopaedic Surg, M/C 6342, Redwood City, California, USA

    Marc R. Safran

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© 2017 Springer International Publishing Switzerland

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Philippon, M.J., Briggs, K.K. (2017). Reconstructive Techniques in FAI Surgery. In: Ayeni, O., Karlsson, J., Philippon, M., Safran, M. (eds) Diagnosis and Management of Femoroacetabular Impingement. Springer, Cham. https://doi.org/10.1007/978-3-319-32000-7_13

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  • DOI: https://doi.org/10.1007/978-3-319-32000-7_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31998-8

  • Online ISBN: 978-3-319-32000-7

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