Fig 4.

Intraoperative images during diagnostic arthroscopy and labral assessment depicting settings that indicated labral reconstruction (A-D). The patient is placed in the modified supine position. The labrum is visualized with a 70° arthroscope from the anterolateral portal. Probe (P) is coming from the mid-anterior portal, and the femoral head (FH) and acetabulum (A) are identified. (A-B) Labral tear evidenced in a left hip with a complex circumferential labral defect and nonviable tissue. In this setting, labral reconstruction is indicated. Additionally, acetabular labrum articular disruption (ALAD) grade 3/4 is found during intraoperative assessment. (C) View of posterior tibialis tendon allograft used for labral reconstruction in the left hip. (D) Traction is released to restore the labral suction seal.