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Bridging Suture Repair for Acetabular Chondral Carpet Delamination.

ABSTRACT: Acetabular chondral carpet delamination is a frequent finding at hip arthroscopy. The cartilage is macroscopically normal but deboned from the subchondral bone, without a disruption at the chondrolabral junction. Arthroscopic anatomic repair of delaminated cartilage is challenging. We propose that a combination of microfracture and use of stitches to press the delaminated cartilage against the subchondral bone using a suture limb offers an effective method to provide an environment for cartilage repair. This article describes the technique of bridging suture repair for carpet delamination in detail; the technique enables the surgeon to stabilize the delaminated acetabular cartilage. Intra-articular soft anchors and an acetabular rim knotless anchor footprint provide a stable repair for delaminated cartilage. This technique is especially helpful in cases with acetabular cartilage carpet delamination.

SUBMITTER: Kaya M

PROVIDER: S-EPMC4680921 | biostudies-other | 2015 Aug

REPOSITORIES: biostudies-other

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Bridging Suture Repair for Acetabular Chondral Carpet Delamination.

Kaya Mitsunori M Hirose Toshiaki T Yamashita Toshihiko T

Arthroscopy techniques 20150803 4

Acetabular chondral carpet delamination is a frequent finding at hip arthroscopy. The cartilage is macroscopically normal but deboned from the subchondral bone, without a disruption at the chondrolabral junction. Arthroscopic anatomic repair of delaminated cartilage is challenging. We propose that a combination of microfracture and use of stitches to press the delaminated cartilage against the subchondral bone using a suture limb offers an effective method to provide an environment for cartilage ...[more]

PMID: 26759774

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