Key result
Capsular reconstruction is a viable option for symptomatic patients with continued instability and capsular deficiency following hip arthroscopy.
Why the study?
Does capsular reconstruction or repair improve outcomes and prevent instability in patients with hip capsular insufficiency compared to unrepaired capsulotomy?
Does capsular reconstruction or repair improve outcomes and prevent instability in patients with hip capsular insufficiency compared to unrepaired capsulotomy?
Capsular reconstruction is highlighted as a viable salvage procedure for symptomatic patients with hip capsular insufficiency and continued instability.
Capsular management during hip arthroscopy can influence the outcome of the operation for better or for worse. Capsulectomy and unrepaired capsulotomy can lead to residual hip instability. Capsular repair has been associated with improved outcomes after surgery compared with unrepaired capsulotomies. Repair or plication of the capsule can be facilitated by effective capsular elevation during central- and peripheral-compartment work. If capsular deficiency is present in a symptomatic patient with continued instability, capsular reconstruction is a viable option.
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Domb et al. (2020) conducted an editorial in Hip capsular insufficiency. Capsular reconstruction vs. Unrepaired capsulotomy was evaluated. Capsular reconstruction is a viable option for symptomatic patients with continued instability and capsular deficiency following hip arthroscopy.
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