Arthroscopic Hip Labral Reconstruction and Augmentation—Retro TAPT: Retrograde Passage, Tie Anterior to Posterior, and Truncate

The standard of care for hip labral tears is arthroscopic repair, with labral reconstruction performed more commonly for irreparable tears in order to avoid isolated labral debridement. However, labral reconstruction can be technically demanding. We provide a concise step-by-step guide for performing labral reconstruction or augmentation using a modified retrograde pull-through technique, including tips, tricks, and surgeon pearls, and pitfalls. Despite the procedure's technically challenging nature, we believe our technique highlights several important steps to improve the practicality and efficiency of the case and produce satisfactory patient outcomes.