Using one of a number of Arthrex suture passing devices, stitches are placed in the labrum. This can be of the simple suture configuration or labral base stitch with a single pass or in vertical mattress fashion. When using SutureTak, the anchor is placed before passing the stitch. If using a PushLock anchor the stitch is placed prior to anchor insertion.

Procedure

Achieve labral fixation by placing sutures through the labrum in simple or labral base stitch configurations using any Arthrex suture passer. Standard and Knotless SutureTak® and FiberTak® anchors should be placed prior to passing the repair suture, while PushLock® anchors should be placed after passing the repair suture.

Asheesh Bedi, MD (Ann Arbor, MI), performs an acetabular labral repair using a Knotless 1.8 Hip FiberTak® anchor with a #2 machine-tapered suture.

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Acetabular Labral Repair Using a Knotless 1.8 Hip FiberTak® Anchor

This animation features the 1.8 mm Knotless Hip FiberTak® soft anchor used for an acetabular labral repair and outlines the steps for implanting and using this novel tensionable knotless technology.

Hip Labral Repair Using the 1.8 Knotless Hip FiberTak® Anchor and a Simple Stitch

Benjamin G. Domb, MD (Chicago, IL), demonstrates a cadaveric segmental acetabular labral reconstruction of the hip using Knotless FiberTak® soft anchors to restore the suction seal.

Segmental Acetabular Labral Reconstruction With Knotless FiberTak® Soft Anchors

Travis Menge, MD (Grand Rapids, MI), demonstrates a novel way to invert the acetabular labrum during a labral repair procedure. In this cadaveric demonstration, the repair suture from a Knotless Hip FiberTak® soft anchor is passed through the labrum with a SwiftStitch™ suture passer to anatomically restore the suction seal of the hip joint.

Acetabular Labral Inversion Using the Knotless Hip FiberTak® Soft Anchor

Travis G. Maak, MD (Salt Lake City, UT), demonstrates an acetabular labral repair using the 2.4 mm BioComposite Mini Hip PushLock® anchors with SutureTape to anatomically restore the suction seal of the hip joint. In this cadaveric demonstration, Dr. Maak outlines the steps for a single-cannula repair technique using the Hip Labral Scorpion™ suture passer to pass 3 circumferential sutures.

Acetabular Labral Repair Using the 2.4 mm BioComposite Mini Hip PushLock® Anchors

Benjamin G. Domb, MD (Chicago, IL), demonstrates an acetabular labral augmentation using Knotless 1.8 Hip FiberTak® soft anchors. In this cadaveric demonstration, Dr. Domb outlines the steps for passing an allograft into the joint behind the native labrum and uses a SwiftStitch™ suture passer to pass the suture through the labrum and around the allograft tissue to recreate the suction seal of the hip joint.

Acetabular Labral Augmentation Using Knotless 1.8 Hip FiberTak® Soft Anchors

Labral Fixation

SwiftStitch Suture Passer, Hip Length, Crescent

SwiftStitch, Fadeneinzugshilfe, hüftlang, halbmondförmig

SwiftStitch Suture Passer, Hip Length, Crescent

SwiftStitch, passador de sutura, crescente, comprime nto da anca

Child (D)

Suture passing is made easy with the wide variety of instruments from Arthrex, including SwiftStitch™, SutureLasso™, BirdBeak®, and Penetrator™ suture passers.

Brian D. Giordano, MD, (Rochester, NY) demonstrates an acetabular labral repair using a variety of suture anchors. In this video, Dr. Giordano passes multiple suture configurations using a 2.0 mm Mini Hip SutureTak® anchor, a 2.4 mm Mini Hip PushLock® anchor, and a 3.0 mm Knotless SutureTak anchor.

Acetabular Labral Repair

This animation features the 1.8 Knotless Hip FiberTak® anchor used with a SwiftStitch™ suture passer to create a labral base stitch through the acetabular labrum.

Hip Labral Repair Using the 1.8 Knotless Hip FiberTak® Anchor and a Labral Base Stitch

This animation demonstrates the steps for closing an interportal capsulotomy with the CapsuleClose Scorpion™ suture passer through a single portal. The steps for loading and unloading the device are outlined, as well as how to pass mattress stitches through the iliofemoral ligament for closure at the end of a hip arthroscopy.

CapsuleClose Scorpion™ Suture Passer

David Sedory, MD, (Savannah, GA) outlines a technique using the CapsuleClose Scorpion™ suture passer for passing traction sutures through the proximal and distal limbs of an interportal capsulotomy to suspend the capsule during arthroscopic hip procedures. Dr. Sedory demonstrates the increased visibility these traction sutures provide for performing an acetabuloplasty, labral repair, and cam osteochondroplasty procedure.

Labral Repair/Reconstruction

Labral Fixation

Suture Passing