Routine complete capsular closure during hip arthroscopy

Joshua D. Harris, William Slikker, Anil K. Gupta, Frank M. McCormick, Shane J. Nho

Research output: Contribution to journalArticlepeer-review

100 Scopus citations

Abstract

The utility of hip arthroscopy has recently progressed beyond diagnostic to therapeutic purposes addressing central and peripheral compartment pathologies. Capsulotomy provides freedom of visualization and instrumentation. The contribution to hip stability of both dynamic and static hip structures is not fully understood. However, both basic science biomechanical and clinical outcome studies have exhibited a relevant role of the capsule in hip stability. Though rare, iatrogenic post-arthroscopy subluxation and dislocation have been reported. Therefore many surgeons have cautioned against aggressive capsulotomy or capsulectomy without repair, because of the potential for precipitation of iatrogenic hip instability. We typically perform a "T" capsulotomy and recommend complete capsular closure in conjunction with labral repair and osseous femoral and acetabular treatment. A safe, efficient, and effective method to accomplish complete capsular closure is presented to reduce iatrogenic postoperative hip instability.

Original languageEnglish (US)
Pages (from-to)e89-e94
JournalArthroscopy Techniques
Volume2
Issue number2
DOIs
StatePublished - May 2013

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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