Capsular Management of the Hip During Arthroscopic Acetabular Chondral Resurfacing: Pearls, Pitfalls, and Optimal Surgical Technique
Authors: Lall AC, Ankem HK, Diulus SC, Maldonado DR, Meghpara MB, Rosinsky PJ, Shapira J, Domb BG
DOI: 10.1016/j.eats.2020.10.045
Background
Hip arthroscopy to treat femoroacetabular impingement (FAI) often involves addressing cartilage damage through acetabular chondral resurfacing. Proper management of the hip capsule during surgery is vital to avoid instability and protect the cartilage repair.
Methods
This article details a step-by-step technique for closing the hip capsule during arthroscopic resurfacing using BioCartilage, highlighting best practices and common pitfalls to avoid.
Key Findings
- Proper capsular closure is crucial to prevent postoperative hip instability.
- Following the described technique enhances graft protection and surgical success.
- The method is reproducible and safe, improving patient outcomes after cartilage resurfacing.
Conclusions
Effective capsular management during hip arthroscopy with chondral resurfacing is essential for optimal recovery and joint stability.
What Does This Mean for Providers
- Employ meticulous capsular closure techniques during acetabular chondral resurfacing to minimize instability risks.
- Use the described method with BioCartilage to enhance graft integration and protect repair sites.
- Be aware of common pitfalls in capsular management and avoid inadequate closure to reduce postoperative complications.
- Educate surgical teams and trainees on best practices for capsular management in cartilage repair cases to improve patient outcomes.