Labral Repair PFN Fixation

The labrum is a ring of cartilage that lines the hip socket, providing cushioning and stability. A torn labrum can cause groin pain, clicking sensations, and difficulty in hip movement. Labral repair surgery involves reattaching the torn labrum to the hip socket using sutures or anchors. This helps restore the natural anatomy of the hip, reduce pain, and prevent early onset arthritis.

When recommended:

• Hip instability due to labral tear.
• Persistent hip pain not relieved by physiotherapy.
• Sports injuries or structural abnormalities like femoroacetabular impingement (FAI).

A trochanteric fracture occurs in the upper part of the thigh bone (femur), usually due to falls or high-impact injuries. These fractures are common in elderly patients with osteoporosis but can also occur in younger individuals after trauma. Proximal Femoral Nail (PFN) fixation is a modern surgical technique used to stabilize such fractures.

In this procedure, a metal rod (nail) is inserted into the femur through a small incision, and screws are placed to hold the fractured bone fragments together. PFN fixation offers strong internal stability, allowing early mobilization and reducing the risk of complications like non-union.

Benefits:

• Minimally invasive with smaller incisions.
• Promotes faster healing compared to traditional methods.
• Enables patients to bear weight earlier, reducing the risk of immobility-related complications.

The trochanteric bursa is a small fluid-filled sac that cushions the outer hip bone. When this bursa becomes inflamed, a painful condition known as trochanteric bursitis develops. While non-surgical treatments such as rest, injections, and physiotherapy often help, chronic or recurrent cases may require surgical removal.

Trochanteric bursectomy involves carefully excising the inflamed bursa while preserving surrounding structures. This procedure relieves pain, restores hip movement, and prevents future inflammation.

Indications:

• Persistent lateral hip pain despite conservative treatment.
• Swelling and tenderness around the greater trochanter.
• Difficulty walking, climbing stairs, or lying on the affected side.

https://youtu.be/JXTyYbTRGv0?si=XLX4DFilu0jU9sya

Recovery depends on the type of procedure performed:

• Labral repair – Requires restricted weight-bearing initially, followed by physiotherapy to restore hip strength and range of motion.
• PFN fixation – Patients often begin walking with assistance within a few days, promoting faster recovery.
• Trochanteric bursectomy – Recovery is generally quicker, with patients resuming normal activities in a few weeks.

A structured rehabilitation plan is crucial to ensure long-term success, prevent stiffness, and regain full function.