Labral Repair

What is hip labral repair?

Hip labral repairs aim to repair the hip labrum (cartilage ring) which lines and protects the acetabulum (hip joint socket, pelvis). The labrum prevents abduction and external rotation of the femoral head to facilitate smooth motion and joint stability. The femur (thigh bone) contains a femoral head (ball) at the distal (away from body) end of the bone. This ball creates a ball-and-socket joint as the femoral head fits into the acetabulum. The goal of the surgery is to relieve pain and restore the labrum’s functional roles. A surgeon may opt for an arthroscopic surgery. This requires a small incision and arthroscope (camera) to minimize muscle loss and damage. The surgeon will then suture the torn labral pieces together. In some cases, open surgery may be necessary to better access the hip joint area. The surgeon will decide based on your age, tear location, tear length, and overall stability of your knee.

Who needs hip labral repair?

Patients bring up pain, limited mobility, and clicking noises as primary concerns. Additionally, they may have different leg lengths, a limp to their walk and have limited hip flexion. The pain can also be worsened by performing certain motions and/or dull (does not subside). Male patients will frequently experience femoroacetabular impingement (FAI) that is responsible for hip labral tears. This involves the femoral head pinching against the acetabulum. Female hip labral tears stem from hip dysplasia, or improperly developed hips. This causes the femoral head to partially or completely fall out of the shallow acetabulum. Those playing sports like ballet, basketball, football, golf, gymnastics, hockey, soccer are at an increased risk because collisions and extreme pressures (turns and twists) on the hip are more prevalent. Hockey goalies in particular are more vulnerable because of their tendency to internally rotate and adduct their hips which stresses the hip labrum. Other risk factors include aging, falling and hip hypermobility. Those who still experience pain and stiffness after attempting non-surgical treatments like anti-inflammatory medications and physiotherapy become candidates for labral repair surgery.

More about hip labral repairs...

Depending on the severity of the labral tear, labral repairs may not be possible and surgeons may choose to perform a hip labral reconstruction instead. If a labral repair is possible, surgeons may also conduct minor debridement to remove any deposits, bone malformations to prevent future labrum damage.
After the procedure, patients have their skin sutured, bandaged, and are taken to recovery. They are then monitored by the staff at our clinic as they progress through their physiotherapy to move in a biomechanically safe manner to ensure a healthy and safe return to the activities, sports and life they had prior to their condition.

Life after hip labral repairs...

More information coming soon!