Table 1.

Pearls and Pitfalls

Pearls

•Opening a proximal mid-anterior portal is useful for preventing suture tangling in labral reconstruction.

•One thread of an anchor is placed in the acetabular rim in labral reconstruction. Passing this thread through the labrum remnant may allow for better incorporation and more appropriate placement of the graft with respect to the chondrolabral junction.

•Intraoperative dynamic hip examination should be performed to determine the area where the suction seal has disappeared.

•During the remplissage procedure, graft application at 20 to 30° hip flexion instead of full flexion allows for the procedure to be performed without touching and damaging the labral graft.

•The use of semitendinosus allograft allows for the completion of 2 separate labral and femoral graft reconstructions with a single allograft.

Pitfalls

•During the remplissage procedure, if the graft placed in the femoral head−neck junction is too thick, it may cause cam-type impingement symptoms.

•Placing the graft in an unsuitable area or insufficient graft thickness without performing hip dynamic examination may prevent reestablishment of the suction seal.

•Improper use of the surgical time under traction may cause risks related to traction.