A Method for Capsular Management and Avoidance of Iatrogenic Instability: Minimally Invasive Capsulotomy in Hip Arthroscopy
Authors: Forster-Horvath C, Domb BG, Ashberg L, Herzog RF
Journal: Arthroscopy Techniques (2017 Apr;6(2):e397–e400)
DOI: 10.1016/j.eats.2016.10.015
Background
Conventional interportal capsulotomy during hip arthroscopy can compromise the iliofemoral ligament, raising the risk of postoperative instability.
Methods
The authors describe a minimally invasive capsulotomy technique guided by the reflected head of the rectus femoris, allowing joint access while preserving the iliofemoral ligament.
Key Findings
- Technique maintains ligamentous integrity, reducing iatrogenic instability risk.
- Allows effective access for labral repair, rim trimming, and offset correction.
- Facilitates capsular repair post-procedure.
What Does This Mean for Providers?
- This technique provides a ligament-sparing alternative for capsulotomy, particularly useful in patients at risk for instability.
- It supports anatomic preservation, aligning with trends in joint-conserving hip arthroscopy.
- Providers should consider this approach in patients with borderline dysplasia, connective tissue disorders, or hypermobility syndromes.