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Catalog. Arthroscopic reconstruction

 

Introduction 

Currently, ligamentum capitis femoris (LCF) reconstruction using arthroscopic technologies is considered promising. According to the literature available to us, the first such operation was performed by Marc J. Philippon, which he first reported on in May 2006 (2006PhilipponMJ). Until now, reconstruction of LCF using minimally invasive technologies has not yet become widespread. The long-term results of arthroscopic LCF repair are still uncertain due to insufficient number of surgical procedures performed and short follow-up period (2014O'DonnellJM_SinghPJ).

Catalog

Arthroscopic LCF reconstruction and discussion of technique

Abibe RB, Rahal SC, dos Reis Mesquita L, Doiche D, da Silva, JP, Mamprim, MJ, Pinho RH, Battazza A, Alves CEF, Saunders WB. Ligamentum teres reconstruction using autogenous semitendinosus tendon with toggle technique in rabbits. PeerJ. 2023;11:e14777. doi.org/10.7717/peerj.14777 [peerj.compeerj.com(PDF)]

Al'Khafaji, I., Olszewski, Y., Clarnette, G., Settle, E., Ernstbrunner, L., O'Donnell, J., & Ackland, D. (2024). The contribution of the ligamentum teres to the hip fluid seal: A biomechanics study. Clinical Biomechanics, 106186. [pubmed.ncbi.nlm.nih.gov sciencedirect.com]

Amenabar T, O’Donnell J. Arthroscopic ligamentum teres reconstruction using semitendinosus tendon: Surgical technique and an unusual outcome. Arthrosc Tech. 2012;1(2)e169-74. doi.org/10.1016/j.eats.2012.07.002 [sciencedirect.com]

Ankem HK, Diulus SC, Meghpara MB, Rosinsky PJ, Shapira J, Maldonado DR, ... Domb BG. Arthroscopic triple reconstruction in the hip joint: restoration of soft-tissue stabilizers in revision surgery for gross instability. Arthroscopy Techniques. 202110(5)e1239-48. [sciencedirect.com]

Arkhipov SV. Underwater Rock of the Ligamentum Teres Reconstructions. Ligamentum Teres – Ligamentum Incognitum. 2019, December 23:1-3. doi.org/10.13140/RG.2.2.22632.42249 [researchgate.net]

Bajwa AS, Cantab MP, VillarRN. Editorial Commentary: Arthroscopic Hip Ligamentum Teres Reconstruction – Reality or Mythology? 2018;34(1)152-4. doi.org/10.1016/j.arthro.2017.11.003 [sciencedirect.com]

Bajwa A. What the papers say. Journal of Hip Preservation Surgery. 2023;8(4)384-6. [ncbi.nlm.nih.gov]

Bourgeault-Gagnon Y, Cohen D, Ayeni OR. Editorial Commentary: Borderline Hip Dysplasia Combined With Increased Anteversion and Ligamentum Teres Disruption Is a Recipe for Hip Microinstability. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2024;11. [arthroscopyjournal.org sciencedirect.com]

Brady AW, Chahla J, Locks R, Mikula JD, SletteEL, LaPrade RF, Philippon MJ. Arthroscopic reconstruction of the ligamentum teres: A guide to safe tunnel placement. Arthroscopy. 2018;34(1)144-51. doi.org/10.1016/j.arthro.2017.08.308 [sciencedirect.com]

Briggs KK, Pennock A, Philippon MJ. Paper 36: Arthroscopic Ligamentum Teres Reconstruction. Arthroscopy. 2011;27(1)e20-1. doi.org/10.1016/j.arthro.2010.11.049 [arthroscopyjournal.org]

Chaharbakhshi EO, Perets I, Ashberg L, Mu B, Lenkeit C, Domb BG. Do ligamentum teres tears portend inferior outcomes in patients with borderline dysplasia undergoing hip arthroscopic surgery? A match-controlled study with a minimum 2-year follow-up. The American journal of sports medicine. 2017;45(11)2507-16. doi.org/10.1177/0363546517710008 [journals.sagepub.com]

Chaharbakhshi EO, Perets I, Ashberg L, Mu B, Lenkeit C, Domb BG.). Do ligamentum teres tears portend inferior outcomes in patients with borderline dysplasia undergoing hip arthroscopic surgery? A match-controlled study with a minimum 2-year follow-up. The American Journal of Sports Medicine. 2017;45(11)2507-16. [journals.sagepub.com]

Chandrasekaran S, Martin TJ, Close MR, Suarez-Ahedo C, Lodhia P, Domb BG. Arthroscopic reconstruction of the ligamentum teres: A case series in four patients with connective tissue disorders and generalized ligamentous laxity. J Hip Preserv Surg. 2016;3:358-367. doi.org/10.1093/jhps/hnw016 [academic.oup.com , academic.oup.com(PDF)]

de Sa D, Phillips M, Philippon MJ, Letkemann S, Simunovic N, Ayeni OR. Ligamentum teres injuries of the hip: a systematic review examining surgical indications, treatment options, and outcomes. Arthroscopy. 2014;30(12):1634-41. doi.org/10.1016/j.arthro.2014.06.007 [sciencedirect.com]

Dimitrakopoulou A, Villar RN. Surgical Treatment of Specific Hip Conditions: Ligamentum Teres Injuries. In Hip Joint Restoration. New York: Springer, 2017:521-6. [link.springer.com]

Garabekyan T, Chadayammuri V, Pascual-Garrido C, Mei-Dan O. All-arthroscopic ligamentum teres reconstruction with graft fixation at the femoral head-neck junction. Arthrosc Tech. 2016;5(1)e143-7. doi.org/10.1016/j.eats.2015.10.020 [sciencedirect.com]

Hammarstedt JE, Redmond JM, Gupta A, DombBG. Arthroscopic ligamentum teres reconstruction of the hip in Ehlers-Danlos syndrome: a case study. HIP Int.  2015;25(3)286-91. doi.org/10.5301/hipint.5000228 [journals.sagepub.com]

Hartigan DE, Hegedus CE. Editorial Commentary: Ligamentum Teres Reconstruction May Improve Hip Stability But Has High Revision Rates: Fad or Restoration of Function? Arthroscopy. 2021;37(6)1820-1. doi.org/10.1016/j.arthro.2021.02.037 [sciencedirect.com]

Ismailoglu AV, Ismailoglu P, Zeynalov SI, Ozdogmus O, Yildizhan SE, Bayramoglu A, Kayaalp A. A guide to facilitate the creation of a femoral tunnel for arthroscopic ligamentum teres reconstruction: a three-dimensional computed tomography study. Journal of Hip Preservation Surgery. 2023hnad027. doi.org/10.1093/jhps/hnad027 [academic.oup.com , scholar.google]

Knapik DM, Farivar D, Kunze KN, Gilat R, Nho SJ, Chahla J. Indications and outcomes after ligamentum teres reconstruction: a systematic review. Arthroscopy, Sports Medicine, and Rehabilitation. 2021;3(3)e939-49. [arthroscopysportsmedicineandrehabilitation.org ,  sciencedirect.com

Kraeutler MJ, Garabekyan T, Pascual-Garrido C, Mei-Dan O. Ligamentum teres tendinopathy and tears. MLTJ. 2016;6(3)337-42. doi.org/10.11138/mltj/2016.6.3.337 [ncbi.nlm.nih.gov]

Lall AC, Ankem HK, Ryan MK, Beason DP, Diulus SC, Roach RP, Rosinsky PJ, Maldonado DR, Emblton BA, Domb BG. In-line Pullout Strength of 2 Acetabular Fixation Methods for Ligamentum Teres Reconstruction of the Hip: A Cadaveric Study. Orthopaedic Journal of Sports Medicine. 2021;9(12)23259671211052533. doi.org/10.1177/23259671211052533  [journals.sagepub.com]

Lindner D, Sharp KG, Trenga AP, Stone J, Stake CE, Domb BG. Arthroscopic ligamentum teres reconstruction. Arthrosc Tech. 2013;2(1)e21-5. doi.org/10.1016/j.eats.2012.10.002 [sciencedirect.com]

Lindner, D., Gilat, R., & Domb, B. G.). Ligamentum Teres Injuries and Treatment. Hip Preservation Surgery: Open, Arthroscopic, and Endoscopic Techniques. Berlin, Heidelberg: Springer, 2020;181-90. [link.springer.com]

Locks R, Bolia I, Utsunomiya H, Briggs K, Philippon MJ. Current concepts in revision hip arthroscopy. HIP International. 2018;28(4)343-51. doi.org/10.1177/1120700018771927 [journals.sagepub.com]

Maldonado DR, Chen JW, Lall AC, Go CC, Walker-Santiago R, Rosinsky PJ, Shapira J, Domb BG. Arthroscopic Ligamentum Teres Reconstruction Using Anterior Tibialis Allograft and the Tension-Slide Technique. Arthrosc Tech. 2019;8(10)e1075-83. doi.org/10.1016/j.eats.2019.05.022 [sciencedirect.com]

Mazek J, Gnatowski M, Salas AP, Domżalski M, Wójcicki R, Skowronek J, Skowronek P. Ligamentum teres reconstruction with labrum and capsule repair after posterior acetabular wall fracture: a case report. Journal of Hip Preservation Surgery. 2021;8(Supplement_1)i41-i45.  [europepmc.org]

Mazek J, Helmy N, Salas AP, Skowronek P, Madej A, O´Donnell JM, Dimitriou D. Quantitative cotyloid fossa thickness and proximity to obturator neurovascular bundle: implications for arthroscopic ligamentum teres reconstruction. Journal of Hip Preservation Surgery. 2023;10(3-4)192-6. [academic.oup.com , scholar.google]

Mei-Dan O, McConkey MO. A novel technique for ligamentum teres reconstruction with “all-suture” anchors in the medial acetabular wall. Arthrosc Tech. 2014;3(2)e217-21. doi.org/10.1016/j.eats.2013.10.003 [sciencedirect.com]

Menge TJ, Mitchell JJ, Briggs KK, Philippon MJ. Anatomic arthroscopic ligamentum teres reconstruction for hip instability. Arthrosc Tech. 2016;5(4)e737-e742. doi.org/10.1016/j.eats.2016.02.036 [sciencedirect.com]

Neumann JA, Greene RS, Banffy MB. A Technique for Arthroscopic-Assisted Ligamentum Teres Augmentation Using a Suture Tape Augmentation. Arthrosc Tech. 2018;7(1)e65–e69. doi.org/10.1016/j.eats.2017.08.048 [sciencedirect.com]

O’Donnell J, Klaber I, Takla A. Ligamentum teres reconstruction: indications, technique and minimum 1-year results in nine patients. J Hip Preserv Surg. 2020;7(1)140–6. doi.org/10.1093/jhps/hnz070 [academic.oup.com]

O’Donnell JM, Pritchard M, Porthos Salas A, Singh PJ. The ligamentum teres—its increasing importance. J Hip Preserv Surg. 2014;1(1)3-11. doi.org/10.1093/jhps/hnu003 [academic.oup.com , academic.oup.com(PDF)]

Pennock AT, Philippon MJ. Arthroscopic ligamentum teres reconstruction: Technique and Early Outcomes. International Society for Hip Arthroscopy (ISHA) Annual Scientific Meeting.  Cancun, Mexico, Oct 8-9, 2010, P. 62. [drrobertlaprademd.com]

Philippon MJ, Pennock A, Briggs KK. Arthroscopic Ligamentum Teres Reconstruction. International Society for Hip Arthroscopy, Cancun, Mexico, October 2010, P. 65. [drrobertlaprademd.com]

Philippon MJ, Pennock A, Gaskill TR. Arthroscopic reconstruction of the ligamentum teres: technique and early outcomes. J Bone Joint Surg Br. 2012;94B(11)1494-8.  doi.org/10.1302/0301-620X.94B11.28576  [online.boneandjoint.org.uk]

Philippon MJ. Advanced Restorative Concepts: Chondral Grafts, Labrum/ Ligamentum Teres Reconstruction, AANA Specialty Days, 2010 AAOS Annual Meeting. New Orleans, La., March 2010, P. 63. [drrobertlaprademd.com]

Philippon MJ. Arthroscopic Capsular Plication and Ligamentum Teres Reconstruction, Sports Hip Surgery, Warwick, England, June 2010, P.64. [drrobertlaprademd.com]

Philippon MJ. Arthroscopic ligamentum teres repair and reconstruction. Santander Arthroscopy and Sports Hip Meeting. Santander, Spain. February 2009.   [slideshare.net]

Philippon MJ. Arthroscopic Reconstruction of the Ligamentum Teres. Warwick Sports Hip Conference. Warwick, England. October 2006. [slideshare.net , sprivail.org]

Philippon MJ. Ligamentum teres reconstruction. Advances in hip Arthroscopy Meeting. Paris, France. 22-23rd May 2006. [slideshare.net , sprivail.org(PDF)]

Philippon MJ. Ligamentum Teres Reconstruction. Vail Hip Arthroscopy Symposium, Vail, CO, March, 2012. [sprivail.org]

Rosinsky PJ, Annin S, Maldonado DR, Kyin C, Meghpara MB, Shapira J, Lall AC, Domb BG. Arthroscopic ligamentum teres reconstruction: Minimum 2-year patient reported outcomes with sub-analysis of patients with EhlerseDanlos syndrome. Arthroscopy. 2020;36(8)2170-82.  [sciencedirect.com]

Rosinsky PJ, Shapira J, Lall AC, Domb BG. All About the Ligamentum Teres: From Biomechanical Role to Surgical Reconstruction. J Am Acad Orthop Surg. 2020;28(8)e328-e339. doi.org/10.5435/JAAOS-D-19-00352 [journals.lww.com]

Shapira J, Yelton MJ, Rosinsky PJ, Maldonado DR, Meghpara MB, Ankem HK, Lall AC, Domb BG. Ligamentum teres reconstruction may lead to improvement in outcomes following a secondary hip arthroscopy for symptomatic microinstability: A systematic review. Arthroscopy. 2021;37(6)1811-9. doi.org/10.1016/j.arthro.2021.01.022 [sciencedirect.com]

Simpson JM, Field RE, Villar RN. Arthroscopic reconstruction of the ligamentum teres. Arthroscopy. 2011;27(3)436-41. doi.org/10.1016/j.arthro.2010.09.016 [sciencedirect.com

Spencer AD, Hagen MS. Predicting Outcomes in Hip Arthroscopy for Femoroacetabular Impingement Syndrome. Current Reviews in Musculoskeletal Medicine. 2024;1-9. [ncbi.nlm.nih.gov]

Steadman - Hawkins Research Foundation. Annual Report 2006. Vail, Colorado, 2006, P. 60-61. [sprivail.org]

Steadman Philippon Research Institute. 2010 Annual Report. Vail, Colorado, 2010, P. 62-65. [drrobertlaprademd.com]

Steadman Philippon Research Institute. 2012 Annual Report. Vail, Colorado, 2012, P. 35, 57, 64, 66. [sprivail.org]

White BJ, Ericson JrWB. Hip pain: Surgical treatment of an unstable hip: Labral and ligamentum teres reconstruction and periacetabular osteotomy (PAO). In: Francomano CA et al (Eds). Symptomatic. Elsevier, 2024;547-53. [sciencedirect.com]

White BJ, Scoles AM, Herzog MM. Simultaneous acetabular labrum and ligamentum teres reconstruction: a case report. J Hip Preserv Surg. 2018;5(2)166-73. doi.org/10.1093/jhps/hny001 [academic.oup.com]

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keywords: ligamentum capitis femoris, ligament of head of femur, ligamentum teres, hip joint, reconstruction, arthroscopy …

CATALOGS AND BIBLIOGRAPHIES

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1614PlatterF

Fragment from the book Platter F. Observationum (1614). The author notes the role of the ligamentum capitis femoris (LCF) in fixing the femur in the acetabulum and the possibility of its lengthening  (synovitis) . Quote pp. 141-142 [Lat] Cruris dextri astrictio & contractio, post coxendicum dolorem. Cùm enim ligamentum illud articulum circumd ás, omnium totius corporis ligamentorum, quae articulos ambiunt, sit amplissimum; fieri potest, ut adeò cedat, ut (sicuti saepe sit) femoris caput, è suo sinu devoluatur, & in membranae illius (quae cùm erassissima sit, prae omnibus totius corporis ligamentis, nunquam vi qualicunque disrumpi potest) amplitudine seu capacitate subsistat, elongato simul & vehementer attracto, tereti illo & crasso, quod caput aliàs in suo sinu retinere solet, ligamento. Quod & ob tensionem illam nimiam, astrictum & induratum, chordae alicuius crasssissimae & firmisimae instar, quae nunquam disrumpi, nunquam ab acetabulo, cuius cartilag...

LCF Mechanics

   Mechanics   OF THE  Ligamentum Capitis Femoris Announcement: A new scientific direction « Mechanics of the Ligamentum Capitis Femoris» has been formed.   Definition: A section of physiology that develops issues of applying the doctrine of the ligamentum capitis femoris (LCF), its movements and forces to solving medical and biological problems.   Synonyms: LCF Mechanics Mechanics of the Ligamentum Capitis Femoris Ligamentum Capitis Femoris Mechanics Ligament of the Head of Femur Mechanics L igamentum Teres Femoris Mechanics Round Ligament of Femur Mechanics   Postulates of LCF Mechanics: Strong, flexible, and non-stretchable with specific attachment points. Limits adduction, rotation, and cranial displacement of the femur. Shunts load on the femoral head and the abductor muscle group of the hip joint. Ensures rhythmicity, symmetry, and energy efficiency of walking. Performs the function to suspend the pelvis during single-leg support.   T...

CRITICAL MASS OF CONSENSUS

Online version from 07/03/2025   Critical mass of consensus:  Opinions on the importance of ligamentum capitis femoris (XX-XXI century) Arkhipov S . V. Content [i]   Abstract [ii]   Opinions [iii]   Authors & Affiliations [iv]   References [v]   Appendices [i]   Abstract This evolving article collects views on the importance of the ligamentum capitis femoris (LCF) to the musculoskeletal system. Our collection aims to highlight the emerging fundamental shift in the current consensus in the orthopaedic and musculoskeletal research communities regarding the meaning of LCF. Here the convinced convince others. Ultimately, this once-unconventional idea will become established knowledge, enabling a transformation in clinicians’ thinking and in approaches to the prevention, diagnosis, and treatment of hip joint pathologies. [ii]   Opinions   2025 «The LT [LCF] works as a secondary static stabilizer of the hip by acting as a sling to preven...

17c.PatelP

Patel P., Landscape with Jacob wrestling the angel (17th century). Depicting the circumstances and mechanism of the ligamentum capitis femoris (LCF) injury based on the description in the Book of Genesis: 25 And Jacob was left alone; and there wrestled a man with him until the breaking of the day. 26 And when he saw that he could not pre vail against him, he struck against the hollow of his thigh ; and the hollow of Jacob's thigh was put out of joint, as he was wrestling with him. … 33 Therefore do the children of Israel not eat the sinew which shrank, which is upon the hollow of the thigh, unto this day; because he struck against the hollow of Jacob's thigh on the sinew that shrank. ( 1922LeeserI , Genesis (Bereshit) 32:25-26,33) More about the plot in our work:  Ninth month, eleventh day   ( 2024 АрхиповСВ. Девятый месяц, одиннадцатый день ).     Pierre Patel – Landscape with Jacob wrestling the angel (17th century); original in the  wikimedia.org  coll...

LCF in 2025 (June)

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1921BrausH

  Fragments from the book: Braus H. Angeborene Gelenkveränderungen, bedingt durch künstliche Beeinflussung des Anlagemateriales (1921). The author describes the anatomy, attachment, shape, properties and changes in pathology of the ligamentum capitis femoris (LCF). The text in German. The text in Russian is available at the following link: 1921BrausH . Quote p. 523-524. Eine Besonderheit der Hüftpfanne ist ein Fenster in ihrer Wandung. Der knöcherne Rand, an welchem die Pfannenlippe angeheftet ist, ist nach unten zw breit eingeschnitten, Incisura acetabuli (Abb. 90). Die Pfannenlippo ist trotzdem ein geschlossener Ring, weil die genannte Lücke durch ein Band, Ligamentum transversum acetabuli. überbrückt wird und weil die Pfannenlippe auf dieses Band fortgesetzt ist (Abb. 258). So ist der ventil artige Abschluß des Pfannenrandes gegen den Schenkelkopf gewahrt und trotz dem der Eintritt eines Bandes in den Innenraum des Gelenkes durch das Fenster unterhalb des Bandes möglich. Das Pfa...

1550CortiM

  Fragment from the book Corti M. In Mundini Anatomen explicatio (1550). An early description of the anatomy and role of ligamentum capitis femoris (LCF) is presented, and a rare synonym is mentioned. The pathogenesis of lameness and soft tissue atrophy in LCF pathology is discussed. For more details, see the comment 1550CortiM [Rus] . Quote p. 376-377. [Lat] De anatomia cruris & pedis. Postea eleua musculos & chordas & vide ossa. Et primum est os foemoris supra quod fabricati sunt spondyles dorsi: & per consequens totum corpus. In parte inferiori habet pixidem quondam: in cuius concauitate locata est extremitas rotunda canna coxe: quae vertebrum vocatur. & in medio amborum in parte interiori est quod dam ligamentum quod potest vocari vertebrum: & quando hoc vel primum resilit foras: tunc niecesse est hominem claudicare: quia crus hoc elongatur & firmari non potest: nec totum potest bene supportari: & necesse est vt crus tabescat: quia uene quae p...

1833GerdyPN

  P.N. Gerdy, in his experiment, discovered tensioning of the ligamentum capitis femoris (LCF) during thigh adduction. At the same time, it was noted for the first time that the consequence of LCF tension during hip adduction is a downward and lateral displacement of the femoral head. Normally, this mechanism provides unloading of the upper articular surfaces when supporting one leg (see 1874SavoryWS ). The translation from French was done in collaboration with ChatGPT 3.5.   Gerdy PN. Physiologie médicale, didactique et critique. T. 1. Paris: Librairie de Crochard, 1833. [fragment] Quote pp. 551-554   L'inclinaison de la cuisse en dehors, que l'on nomme son abduction, est un mouvement assez étendu, mais qui pourtant ne permet pas à la cuisse de se placer perpendiculairement à sa direction verticale. Les batteleurs peuvent se reposer sur un plan horizontal, les cuisses écartées en sens opposé. Dans l'inclinaison ...

1864MacalisterA

  Content [i]   Annotaction [ii]   Original in  English [iii]   Translated into  German [iv]   Illustrations [v]   Source  &  links [vi]   Notes [vii]   Authors & Affiliations [viii]   Keywords [i]   Annotaction Fragment of the article: Macalister A. On the anatomy of the ostrich (Struthio camelus) (1864). The author observed ligamentum capitis femoris (LCF) in an ostrich. Its strength is noted, and its shape is described. Translation into Russian is available at the link: 1864MacalisterA .  [ii]   Original in  English   Quote, p. 22 The articulations of the lower extremity present many points of mechanical importance. The first, or the hip, is an enarthrosis, surrounded by a capsule, loose, expanding inferiorly; the synovial membrane spreads over the great trochanter; a strong transverse band passes from the border of the lesser sciatic notch to the upper and posterior edge of the acetab...

1853KnoxR

  We publish selected quotations about ligamentum capitis femoris (LCF) from Knox  R.  Manual of Human Anatomy (1853). The author points out that LCF is a thick and dense bundle of fibers. It is attached to the edges of the acetabular notch and intertwined with the fibers of the fibrocartilaginous ring of the acetabulum. Robert Knox writes: « The functions of the round ligament have not been satisfactorily determined.» Quote p. 142 Fig. 104. - This instructive section of the hip-joint requires little or no explanation. - d points to the superior part of the capsular ligament. Fig. 105. - Capsular ligament of the hip-joint; also Poupart's ligament. - a , the capsular ligament; b , the oblique, or accessory ligament of the joint; d , attachment of the external pillar of Poupart's ligament to the tubercle of the pubis; e , deep structures immediately behind that portion of Poupart's ligament, called the ligament of Gimbernat; c , ligamentum obturatorium.   Quo...