Is There Enough Evidence to Support Hip Capsular Reconstruction? A Systematic Review of Biomechanical Studies
Authors: Ankem HK, Ouyang VW, Saks BR, Jimenez AE, Sabetian PW, Maldonado DR, Lall AC, Domb BG
DOI: 10.1093/jhps/hnab059
Background
Hip capsular reconstruction aims to restore hip capsule integrity after surgery, potentially improving stability and function. However, biomechanical evidence varies.
Methods
Systematic review of biomechanical studies assessing hip capsular reconstruction outcomes, including resistance to distraction, range of motion, and rotational stability.
Key Findings
- Capsular reconstruction improves hip stability and reduces abnormal motion compared to capsular defects.
- There is high variability in methods and no consensus on optimal graft type or surgical technique.
Conclusions
Capsular reconstruction shows promise biomechanically, but current evidence is insufficient for firm clinical guidelines. More standardized research is needed.
What Does This Mean for Providers?
Providers should recognize the potential benefits of capsular reconstruction in restoring hip stability but must weigh the limited and heterogeneous biomechanical evidence when deciding on indications and graft choice. Continued evaluation of evolving techniques and individualized surgical planning remain essential.