Arthroscopic Capsular Repair for Symptomatic Hip Instability After Previous Hip Arthroscopic Surgery

Wylie, James D.; Beckmann, James T.; Maak, Travis G.; Aoki, Stephen K.

doi:10.1177/0363546515608162

Cited by 115 publications

(91 citation statements)

References 27 publications

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“…10 Several surgical techniques showed that viewing from outside the capsule could be helpful in performing secure capsular closures. 1,11 In agreement with these reports, we believe scope viewing from outside the capsule can provide better visualization. The indications of a shoelace complete capsular closure technique are BDDH, FAI, and capsular laxity if indicated and DDH undergoing shelf acetabuloplasty as shown in Table 1.…”

Section: Discussionsupporting

confidence: 87%

Arthroscopic Shoelace Capsular Closure Technique in the Hip Using Ultratape

Uchida

Pascual‐Garrido

Ohnishi

et al. 2017

Arthroscopy Techniques

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Hip arthroscopy is promising tool for assessing and treating intra-articular pathologies including labral tears, cartilage injuries, and ligamentum teres tears of the hip. Interportal capsulotomy allows for better visualization and accessibility of the arthroscope and working instruments. The hip capsule has been defined as a crucial stabilizer of the hip joint. Thus, capsular closure is recognized as an important procedure to prevent postoperative instability after hip arthroscopic surgery. Despite the routine capsular closure during hip arthroscopy, there is a small subset of patients who complain of hip pain and dysfunction after surgery most likely because of disruption of hip closure site after routine complete capsular closure with strong suture for treating hip instability. This technical note describes the arthroscopic shoelace capsular suture technique using Ultratape for treating femoroacetabular impingement with capsular laxity and borderline hip dysplasia.

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Section: Discussionsupporting

confidence: 87%

Arthroscopic Shoelace Capsular Closure Technique in the Hip Using Ultratape

Uchida

Pascual‐Garrido

Ohnishi

et al. 2017

Arthroscopy Techniques

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“…25,33 Interportal and T-shaped capsulotomy is now accepted as a standard step in central compartment access because it allows a better exposure of the posterolateral/inferior aspects of the joint and nonconstrained manipulation of the instruments. [34][35][36][37] Some published reports about cases of acute hip dislocation after large unrepaired capsulotomy [38][39][40][41] raised concerns about iatrogenic hip instability after arthroscopy, and some authors now recommend meticulous capsule closure in all cases. [41][42][43][44] The next step in hip arthroscopy is to repair the labrum and cartilage lesions.…”

Section: Surgical Techniquementioning

confidence: 99%

Femoroacetabular Impingement: What the Surgeon Wants to Know

Rego

Beaulé

Ayeni

et al. 2019

Semin Musculoskelet Radiol

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Femoroacetabular impingement (FAI) is increasingly recognized as a risk factor for early hip degeneration in young active patients. The diagnosis depends on clinical examination and proper imaging that should be able to identify abnormal and sometimes subtle morphological changes. Labral tears and cartilage lesions rarely occur without underlying bone abnormalities. Surgical approaches to treat FAI are increasing significantly worldwide, even without a clearly defined consensus of what should be accepted as the standard imaging diagnosis for FAI morphology.Hip abnormalities encompass many variations related to the shape, size, and spatial orientation of both sides of the joint and can be difficult to characterize if adequate imaging is not available.This article presents a comprehensive review about the information orthopaedic surgeons need to know from radiologists to plan the most rational approach to a painful hip resulting from a mechanical abnormality.

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“…[10][11][12][13][14] As hip arthroscopy is increasingly used for the treatment of femoroacetabular impingement, we have identified and treated several patients with postoperative instability after hip arthroscopic surgery. 15 As such, we believe that a watertight capsular closure after routine hip arthroscopy is important for preventing postoperative instability and improving patient outcomes. We detail our technique for primary capsular closure of an intraportal capsulotomy using figure of eight sutures to obtain a watertight capsular seal.…”

mentioning

confidence: 98%

Hip Arthroscopy Capsular Closure: The Figure of Eight Technique

Aoki

Karns

Hananouchi

et al. 2017

Arthroscopy Techniques

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Hip arthroscopy techniques have continued to evolve for femoroacetabular impingement and other intraarticular pathologies. However, there is still debate about the importance and technique of routine capsular closure. We present an efficient and reliable technique for creating a watertight capsular closure to prevent iatrogenic macro and microinstability. This Technical Note details our stepwise technique using figure of eight sutures to obtain a complete and secure capsular closure.

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Arthroscopic Capsular Repair for Symptomatic Hip Instability After Previous Hip Arthroscopic Surgery

Abstract: Revision hip arthroscopic surgery for capsular repair in patients with symptomatic instability after hip arthroscopic surgery provides good functional outcomes at a minimum of 1 and 2 years postoperatively.

Cited by 115 publications

References 27 publications

Arthroscopic Shoelace Capsular Closure Technique in the Hip Using Ultratape

Arthroscopic Shoelace Capsular Closure Technique in the Hip Using Ultratape

Femoroacetabular Impingement: What the Surgeon Wants to Know

Hip Arthroscopy Capsular Closure: The Figure of Eight Technique

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