Arthroscopic Capsular Reconstruction of the Hip With Acellular Dermal Extracellular Matrix: Surgical Technique
Authors: Perets I, Hartigan DE, Walsh JP, Chaharbakhshi E, Close MR, Domb BG
Journal: Arthrosc Tech.
DOI: 10.1016/j.eats.2016.05.002
Purpose
To present a surgical technique for managing irreparable hip capsule defects in patients with microinstability using acellular dermal grafts.
Methods
Step-by-step arthroscopic reconstruction method using dermal extracellular matrix to reinforce deficient capsular tissue in patients with atraumatic or postoperative instability.
Key Findings
- Offers a treatment pathway for patients not amenable to primary repair.
- Provides mechanical stability while preserving range of motion.
- Demonstrates feasibility in challenging microinstability cases.
Conclusions
Acellular dermal matrix reconstruction is a promising option for complex capsular insufficiency and may enhance outcomes in patients with persistent instability.
What Does This Mean for Providers?
- Consider this technique for patients with failed capsular repair or innate laxity leading to instability.
- Especially useful in revision cases or athletes with atraumatic instability.
- Familiarity with graft handling and fixation techniques is essential for optimal outcomes.