AANA Hip Arthroscopy - September 2024-Capsular Management - Capsulotomy, Capsular Windows, Exposure and Repair_Plication

Capsular Management - Capsulotomy, Capsular Windows, Exposure and Repair_Plication_Reconstruction

Video Transcription

Video Summary

Dr. Shane Ngo discusses hip capsular management, emphasizing the importance of capsular repair after hip arthroscopy to prevent instability and improve outcomes. He reviews hip capsule anatomy, types of capsulotomies (interportal, half T, full T), and their impact on visualization and biomechanics. Larger capsulotomies enhance visualization but require more sutures and careful repair to restore hip stability. Dr. Ngo details surgical techniques for capsular repair and reconstruction, including graft use for large defects. Clinical studies show better outcomes and fewer revisions with capsule repair. He advises tailoring capsulotomy type and size to the patient's pathology for optimal results.

Keywords

hip capsular management

capsular repair

hip arthroscopy

capsulotomy types

surgical techniques