We have used the ligamentum teres capitis to reconstruct the deficient or absent labrum in five patients with femoroacetabular
impingement at the time of surgical hip dislocation. Two had a deficient labrum overlying a sectorial retroverted acetabulum
causing pincer-type impingement. Three patients had the labrum previously resected arthroscopically. The minimum followup
from surgery was 5 months (average, 10 months; range, 5–20 months). There were no intraoperative or postoperative complications
related to the reconstruction. All patients had improvement in their clinical function and one patient underwent total hip
arthroplasty at last followup for unresolved pain without radiographic progression of arthritis. Reconstruction of the labrum
in patients with deficient or resected labrums at the time of surgical hip dislocation provides the theoretical advantage
of sealing and stabilizing the hip joint, restoring the fluid layer which could potentially prevent continued cartilage degeneration.
Level of Evidence: Level II, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.
Each author certifies that he has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing
arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.
Each author certifies that his or her institution has approved the reporting of these cases, that all investigations were
conducted in conformity with ethical principles of research, and that informed consent for participation in the study was
obtained.