Inside-Out Anchor Placement: A Technique to Instrument Far Medial Anchors in Acetabular Labral Repair.
Arthrosc Tech
; 13(5): 102949, 2024 May.
Article
em En
| MEDLINE
| ID: mdl-38835447
ABSTRACT
Labral tears most commonly occur anteriorly between the 12- and 3-o'clock positions, with the 12-o'clock position denoted as superior and the 3-o'clock position denoted as anterior. When approaching the 3-o'clock position and beyond, suture anchor placement becomes difficult given the challenging arthroscopic trajectory and an overall thin anterior rim of cortical bone for anchor purchase, resulting in a narrow angle of safe drilling. The purpose of this technical note is to present a safe and reproducible method of suture anchor placement during acetabular labral repair approaching the 3- and 4-o'clock positions, with the 12-o'clock position representing the superior anatomic location and the 3-o'clock position representing the anterior anatomic location regardless of hip laterality. We use an inside-out anchor placement technique to place far medial anchors, which differs from the conventional techniques (e.g., outside-in technique) in which anchor placement is performed along the external margin of the acetabular labrum.
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MEDLINE
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En
Ano de publicação:
2024
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Article