• Dr. Domb!

    Thanks a lot for getting my hip right. Looking forward to a full recovery and a great season. Thanks again for everything.

    Corey WoottonChicago Bears and Detroit Lions
  • Thank you for all that you have done for me and the team. My hip feels so much better, and because of you I'm pain free.
    Sylvia Fowles WNBA Finals MVP, 2-time Olympic Gold Medalist
  • Thank you for working your magic! You're the best!
    Zakiya BywatersChicago Red Stars, National Women's Soccer League
  • Thanks for all the love and positive Energy that was put into my surgery. May the Lord bless you and your family.
    Atari BigbyGreen Bay Packers and San Diego Chargers
  • Dr. Domb, Thanks for fixing me up
    Rashied DavisChicago Bears
  • Huge thank you to Dr. Domb for always taking care of me and getting me back on the court in no time!
    Elena Delle DonneChicago Sky, MVP of the WNBA
  • Dr. Domb! Thanks for taking care of the hip! All the best to you and your staff
    Roosevelt ColvinChicago Bears' All-Decade Defense team
  • Thanks doc for fixing my hip!
    Ryan ChiaveriniWindy City Live Co-Host on ABC7

2014- Domb et al. Arthroscopic Labral Reconstruction of the Hip Using Local Capsular Autograft. Arthroscopy Techniques.

Abstract: Labral reconstruction is becoming an important treatment modality for hips with nonsalvageable labra. Nonsalvageable labra can be present in cases of intrasubstance damage, revision surgery after debridement, labral calcification, and hypoplasia. Previous methods of reconstruction have been performed in an open manner and arthroscopically using ligamentum teres, iliotibial band, and gracilis autograft. We present an alternate method of arthroscopic labral reconstruction using capsular autograft. The technique uses readily available capsular tissue during arthroscopy with no donor-site morbidity. This technique may be valuable in appropriately selected patients with labral deficiency.

Biomechanical and clinical studies continue to document the importance of the hip labrum. Ferguson et al. 1,2 have shown the importance of the labrum in providing a fluid seal and assisting in contact force transmission. Clinically, the results of labral repair appear to be better than those of labral resection. 3,4 Ideally, when one is treating patients with labral tears, the labrum can be preserved because labral damage has been associated with degenerative changes in the hip joint. 5

At the time of surgery, many patients have labral tissue that cannot be salvaged. This may be because of significant tearing, degenerative tissue, or hypoplasia. Patients also present after labral debridement with persistent postoperative pain. Many of these patients have undergone significant labral resection. When the labrum is nonsalvageable or nonexistent, labral reconstruction is a viable treatment option. To our knowledge, three types of labral reconstruction have been described. Philippon et al. 6

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