Key result
Hip capsular preservation and closure is essential for patients with femoroacetabular impingement syndrome requiring more hip stability, though adequate bony decompression remains paramount.
Capsular preservation and closure is essential for patients with hip phenotypes requiring more stability, while adequate bony decompression remains paramount in all patients with femoroacetabular impingement syndrome.
Hip capsular preservation remains most common in the United States despite literature to-date showing varying outcomes. Different surgeons prefer, and different patients require, periportal capsulotomies versus wider exposure with T-type capsulotomy and traction stitches. In addition to revision cases, some hip phenotypes may require more aggressive capsular management. Patients with borderline hip dysplasia, acetabular retroversion, increased femoral anteversion, and greater Beighton scores necessitate more hip stability; thus, capsular preservation and closure is essential. However, patients with "tight" hips, thicker capsules, and larger cam deformities may require less-stringent capsular care. Regardless, adequate bony decompression is paramount in patients with femoroacetabular impingment syndrome.
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Vehniah K. Tjong (2024) conducted an editorial in Femoroacetabular impingement syndrome. Hip capsular preservation was evaluated. Hip capsular preservation and closure is essential for patients with femoroacetabular impingement syndrome requiring more hip stability, though adequate bony decompression remains paramount.
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