Bridging Suture Repair for Acetabular Chondral Carpet Delamination

Abstract Acetabular chondral carpet delamination is a frequent finding at hip arthroscopy. The cartilage is macroscopically normal but deboned from the subchondral bone, without a disruption at the chondrolabral junction. Arthroscopic anatomic repair of delaminated cartilage is challenging. We propo...

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Bibliographic Details
Published in:Arthroscopy techniques (Amsterdam) 2015-08, Vol.4 (4), p.e345-e348
Main Authors: Kaya, Mitsunori, M.D, Hirose, Toshiaki, M.D, Yamashita, Toshihiko, M.D
Format: Article
Language:English
Subjects:
Orthopedics
Technical Note
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Summary:Abstract Acetabular chondral carpet delamination is a frequent finding at hip arthroscopy. The cartilage is macroscopically normal but deboned from the subchondral bone, without a disruption at the chondrolabral junction. Arthroscopic anatomic repair of delaminated cartilage is challenging. We propose that a combination of microfracture and use of stitches to press the delaminated cartilage against the subchondral bone using a suture limb offers an effective method to provide an environment for cartilage repair. This article describes the technique of bridging suture repair for carpet delamination in detail; the technique enables the surgeon to stabilize the delaminated acetabular cartilage. Intra-articular soft anchors and an acetabular rim knotless anchor footprint provide a stable repair for delaminated cartilage. This technique is especially helpful in cases with acetabular cartilage carpet delamination.
ISSN:2212-6287
2212-6287
DOI:10.1016/j.eats.2015.03.011