HomeAnswersOrthopedician and Traumatologyhip subluxationDo I need crutches for a longer time after a failed hip arthroscopy where the labrum was not fixed?

What happens if the labrum is not fixed in hip arthroscopy?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Atul Prakash

Medically reviewed by

iCliniq medical review team

Published At February 10, 2023
Reviewed AtFebruary 10, 2023

Patient's Query

Hello doctor,

A few days ago, I had a failed hip arthroscopy where the cam and pincer impingements were shaved, but my hip sockets were too deep to repair my labrum or asses my joint. I had even started 50 % weight bearing as instructed, which I had to return to 25 %. Since the labrum was not repaired, will this keep me on crutches for longer?

Please help.

Answered by Dr. Atul Prakash

Hello,

Welcome to icliniq.com.

I went through your query and understood your concern.

The procedure entails strong traction to open up the space between the ball and the socket and the cam, and the acetabular edge is shaved. The labrum is initially identified and separated from the edge of the acetabulum and after the shavings have been done reattached to the note-shortened edge. However, I had a few questions.

1. Was the procedure abandoned because of anatomical reasons?

2. Where was the problem and how much bone was excised?

3. What was the technical cause once the excision was done that prevented the repair?

4. Was the labrum calcified?

5. Was there any delamination of the femoral head cartilage?

Kindly update with the following questions.

Thanks and regards.

Patient's Query

Hello doctor,

Thanks for your reply.

The cam and pincers were shaved. Because the anatomy of my hip sockets was too deep, the doctor could not get to the labrum.

Please help.

Answered by Dr. Atul Prakash

Hello,

Welcome back to icliniq.com.

The issue is how stable the reattachment is even though the cam had been removed. Deep hip flexion will cause the labrum to be impinged upon, like sitting in a low bucket seat, squatting, etc., whereas straight standings posture would not be a major issue as the offending cam had been removed. So, I suggest you take precautions for six weeks. I will also suggest a repeat hip X-ray if that has not already been done.

I hope this has helped you.

Thanks and regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Atul Prakash
Dr. Atul Prakash

Orthopedician and Traumatology

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