2023 Annual Meeting Hip Access Pass-Capsular Management During Hip Arthroscopy: My Way Is the Right Way

Capsular Management During Hip Arthroscopy: My Way Is the Right Way

Video Transcription

Video Summary

Dr. Ben Dome discussed capsular management during hip arthroscopy, emphasizing the importance of sufficient capsulotomy for better exposure and instrument maneuverability. He advocates routine capsular closure or plication to prevent instability, especially in patients with connective tissue disorders, ligamentous laxity, or borderline dysplasia. Preservation of the capsule is crucial for effective repair. Long-term studies show capsular repair improves outcomes, reduces risk of dislocation, and enhances durability of results, including in athletes and borderline dysplasia cases. Ultimately, careful capsular management enables advanced procedures and better joint stability, supporting sustained success in hip arthroscopy over a decade.

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Benjamin Domb, M.D.

Keywords

hip arthroscopy

capsular management

capsulotomy

capsular closure

joint stability