Arthroscopic reconstruction of the ligamentum teres

Technique and early outcomes

M. J. Philippon, A. Pennock, T. R. Gaskill

Abstract

Femoroacetabular impingement causes groin pain and decreased athletic performance in active adults. This bony conflict may result in femoroacetabular subluxation if of sufficient magnitude.

The ligamentum teres has recently been reported to be capable of withstanding tensile loads similar to that of the anterior cruciate ligament, and patents with early subluxation of the hip may become dependent on the secondary restraint that is potentially provided by the ligamentum teres. Rupture of the ligamentum may thus cause symptomatic hip instability during athletic activities.

An arthroscopic reconstruction of the ligamentum teres using iliotibial band autograft was performed in an attempt to restore this static stabiliser in a series of four such patients. Early clinical results have been promising. The indications, technique and early outcomes of this procedure are discussed.

Footnotes

  • The author or one or more of the authors have received or will receive benefits for personal or professional use from a commercial party related directly or indirectly to the subject of this article.

    Authors received research funding from Smith & Nephew, Ossur, Siemens, and Arthrex. MJP has commercial association with Smith & Nephew, Arthrosurface, HIPCO, MIS, DonJoy and Bledsoe.

  • Received October 26, 2011.
  • Accepted July 18, 2012.
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