Hip Labral Reconstruction Using the Ligamentum Teres Capitis: Case Report and Surgical Technique

  • Fernando Díaz Dilernia Hip Labral Reconstruction Using the Ligamentum Teres Capitis: Case Report and Surgical Technique https://orcid.org/0000-0002-7830-2207
  • Franco De Cicco Hip Center “Sir John Charnley”, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0001-9844-140X
  • Fernando Comba Hip Center “Sir John Charnley”, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0002-2848-2983
  • Martín Buttaro Hip Center “Sir John Charnley”, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0003-3329-778X
  • Gerardo Zanotti Hip Center “Sir John Charnley”, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0001-8090-4832
Keywords: Hip, acetabulum, autografts, labral tear, surgical hip dislocation

Abstract

Labral tears with insufficient substance can be treated with augmentation, reconstruction, or grafting techniques. If the remnant labrum is very scarce, reconstructive options would be the most appropriate. We present the case of a 40-year-old female patient who had undergone two failed hip arthroscopies due to labral tears. Following the original technique described by Ganz, a surgical hip dislocation was performed and the Ligamentum Teres Capitis was resected to cover the labral defect. To our knowledge, this is the first report of labral reconstruction using the Ligamentum Teres Capitis in our literature. Despite poorly reported outcomes in patients with previous procedures, surgical repair using the Ligamentum Teres Capitis has proven to be a viable option.

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Author Biographies

Fernando Díaz Dilernia, Hip Labral Reconstruction Using the Ligamentum Teres Capitis: Case Report and Surgical Technique
Hip Labral Reconstruction Using the Ligamentum Teres Capitis: Case Report and Surgical Technique
Franco De Cicco, Hip Center “Sir John Charnley”, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Hip Center “Sir John Charnley”, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”,Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Fernando Comba, Hip Center “Sir John Charnley”, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Hip Center “Sir John Charnley”, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”,Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Martín Buttaro, Hip Center “Sir John Charnley”, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Hip Center “Sir John Charnley”, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Gerardo Zanotti, Hip Center “Sir John Charnley”, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Hip Center “Sir John Charnley”, Orthopedics and Traumatology Institute “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina

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Published
2021-08-19
How to Cite
Díaz Dilernia, F., De Cicco, F., Comba, F., Buttaro, M., & Zanotti, G. (2021). Hip Labral Reconstruction Using the Ligamentum Teres Capitis: Case Report and Surgical Technique. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(4), 553-559. https://doi.org/10.15417/issn.1852-7434.2021.86.4.1281
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Nota técnica