2023 Specialty Day Access Pass-Hip Soft Tissues: Repair the Labrum and the Capsule

Hip Soft Tissues: Repair the Labrum and the Capsule

Video Transcription

Video Summary

Al Stubbs discusses hip soft tissue repair, emphasizing tissue preservation, particularly of the labrum and capsule, to improve outcomes and prevent arthritis and instability. Labral repair is favored over resection, especially in early arthritis or dysplasia. He highlights careful capsulotomy techniques, advocating minimal capsular exposure and avoidance of over-tightening during repair to maintain joint volume. Newer methods include needle arthroscopy with smaller portals to reduce damage. Using Vicryl sutures is preferred, and strategic portal placement is essential. The goal is protecting the complex soft tissue structures and chondrolabral junction while minimizing instability risks for better hip preservation.

Asset Caption

Allston J. Stubbs IV, M.D., M.B.A.

Keywords

hip soft tissue repair

labral preservation

capsulotomy techniques

needle arthroscopy

hip joint stability