Mr Araz B. Massraf

Consultant Orthopaedic Surgeon
MBCHB, FRCSI, FRCS (Orth & Trauma)

Management of labral tears:


Non-operative Management

All patients should undergo an initial trial of conservative treatment, including physical therapy, anti-inflammatory medication,and activity modification. Intra-articular injury of the hipis oftentimes associated with extra-articular muscular dysfunction,and the initial rehabilitation should focus on normalizationof any associated muscular imbalances and weakness as well asrange of motion.


Operative Principle

Restore sphericity to the femoral head.
Address the pathologic changes in the labrum.

Mini-open approach (My approach) Semi-lateral position with hip abduction. Minimally Invaisve Surgery. Sub-Gluteal medius approach. Performing controlled capuslotomy. Possible to combines the hip arthroscopy with an mini-open procedures. The exposure also allows visualization of the anterio-medial head neck junction, which is an excellent reference point for normal neck contour.


— No surgical hip dislocation.
— Small incision and small approach.
— Minimal soft tissue stripping
— preservative with bone removal.
— Reduce risk of neck fracture.
— Preserve femoral head blood supply.
— Able to check the ROM.



Other operative methods:

— Open approach (Ganz)
— Traumatic approach.
— Risk of bone necrosis.
— Trochanteric non-union and pain.
— Avulsion of ligamentus teres, which cause pain.
— Prolong operating time.
— Risk of fracture.


Arthroscopic approach

— Step learning curve.
— Expensive.
— Time consuming.
— High incidence of revisions.
— Early stages for instrumentation.
— Limited panormic views.



Get in Touch

Secretary:
Mrs A.C. McDermott
Tel 079809989421
Fax 01778 423476

Consulting Rooms:
Fitzwilliam Hospital
Milton Way
South Bretton
Peterborough
PE3 9AQ
Booking: 01733 261717