The “Pull-through” Technique for Labral Reconstruction of the Hip

Abstract

Hip arthroscopy has proved to be a valid option for the management of femoroacetabular impingement syndrome and labral tears. In this context, labral preservation has been advocated as a superior alternative to complete debridement in terms of clinical outcomes. While labral repair remains the gold standard, particularly in the primary setting, labral reconstruction has been suggested for irreparable tears. However, labral reconstruction is highly technical and demanding. The pull-through technique was described to overcome some of the challenges in arthroscopic labral hip reconstruction surgery. The present review describes details, tips and pearls, and outcomes of using the pull-through technique for labral reconstruction of the hip.