Arthroscopic Labral Reconstruction in the Hip Using Iliotibial Band Autograft

The acetabular labrum has been recognized as playing a key role in the normal function of the hip joint. As labral pathology knowledge has evolved, the importance of restoring labral and hip anatomy has become evident. We describe a technique of labral reconstruction using iliotibial autograft, which is indicated in advanced cases in which labral repair cannot be performed. Careful surgical technique, including addressing underlying hip pathology, such as femoroacetabular impingement (FAI), is critical to the long-term success of this procedure as well as an adequate postoperative rehabilitation protocol. Early clinical outcomes of this technique are encouraging, making this surgery a great option when the native labrum cannot be salvaged.