Remplissage and Labral Reconstruction Technique Correlated With Dynamic Hip Examination Using the Kite Technique for Restoration of the Suction Seal in Revision Hip Arthroscopy

Safa Gursoy; Amar S Vadhera; Harsh Singh; Allison K Perry; Shane J Nho; Jorge Chahla

doi:10.1016/j.eats.2021.04.027

Remplissage and Labral Reconstruction Technique Correlated With Dynamic Hip Examination Using the Kite Technique for Restoration of the Suction Seal in Revision Hip Arthroscopy

Arthrosc Tech. 2021 Jul 20;10(8):e1995-e2004. doi: 10.1016/j.eats.2021.04.027. eCollection 2021 Aug.

Authors

Safa Gursoy¹, Amar S Vadhera¹, Harsh Singh¹, Allison K Perry¹, Shane J Nho¹, Jorge Chahla¹

Affiliation

¹ Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.

Abstract

The hip suction seal plays a key role in distractive stability and maintenance of intra-articular fluid pressure of the hip. Preservation of the suction seal relies on the acetabular labrum and the congruence between the labrum and the femoral head-neck junction. During the treatment of cam-type impingement, iatrogenic over-resection in the femoral head-neck junction or labrum deficiency can cause loss of this suction seal. In this technical note, we describe a remplissage procedure performed in addition to labral reconstruction in a patient with loss of the suction seal due to a dysfunctional labrum and previous over-resection of a cam deformity.