A Novel Technique for Capsular Repair and Labrum Refixation in Hip Arthroscopy Using the SpeedStitch

Capsulotomy, which is commonly performed in hip arthroscopy, assists visualization and instrument navigation. Despite the necessity, the optimal technique, amount of resection, and indications for capsulotomy remain unknown. Capsular repair is increasingly considered because of concerns raised about the long-term effects of extensive capsulotomies and reports of devastating postoperative side effects. It was recently recommended that any patient undergoing hip arthroscopy with a large capsular defect or ligamentous laxity should be considered for capsular repair and/or plication. We present a novel technique for capsular repair using the SpeedStitch device (ArthroCare, Austin, TX), originally designed for shoulder rotator cuff repair. This capsular repair technique has proven to be easy, fast, and reproducible. If performed in the correct manner, this technique has the potential to preserve the anatomy and integrity of the iliofemoral ligament and reduce the rates of postoperative instability and pain.