Arthroscopic Capsulotomy, Capsular Repair, and Capsular Plication of the Hip: Relation to Atraumatic Instability
Authors: Domb BG, Philippon MJ, Giordano BD
DOI: 10.1016/j.arthro.2012.04.057
Purpose
Systematic review of the role of the hip joint capsule in stability and arthroscopic techniques addressing the capsule, including capsulotomy with and without repair, and capsular plication.
Methods
Review of 47 relevant studies on hip capsule anatomy, biomechanics, and clinical outcomes from an initial 5,085 papers.
Key Findings
- The hip capsule is critical for joint stability.
- Variability exists in arthroscopic management of the capsule post-capsulotomy.
- Repair and plication techniques restore capsule integrity and tension, potentially reducing hip instability.
Conclusion
Surgeons should be proficient in capsule repair or plication techniques during hip arthroscopy to maintain or restore hip stability and prevent complications from capsular deficiency.
What Does This Mean for Providers?
- Evaluate the need for capsular repair or plication based on patient-specific factors and instability risk.
- Mastery of capsular management techniques is essential to optimize postoperative stability and function.
- Counseling patients regarding potential instability and surgical plans to address the capsule is important.