Table 2.

Technical Steps and Pearls for Arthroscopic Treatment of Bucket-Handle Labral Tear and Acetabular Fracture

Steps	Pearls
Preoperative CT	• Assess for incarcerated fragments. • Assess for hip joint malreduction. • Note that the extent of chondral and labral injury can be underestimated.
Diagnostic arthroscopy	• Evaluate the integrity of the labrum. • Evaluate reducible fragments.
Reduction	• Determine the reduction maneuver. • Use a switching stick or osteotome. • Remove loose bodies with a pituitary grasper.
Fixation	• Note that 5.5-mm anchors may be needed because of cancellous bone.
Femoroacetabular impingement	• Address femoroacetabular impingement to protect the repair from stress.
Postoperative	• Provide heterotopic ossification prophylaxis for the traumatized hip. • Instruct the patient to limit weight bearing because of loss of joint structural integrity.