AANA Hip Arthroscopy - September 2024-Capsular Technical Pearls in Revision Hip Arthroscopy

Capsular Technical Pearls in Revision Hip Arthroscopy

Video Transcription

Video Summary

Steve Aoki discusses capsular technical pearls in revision hip arthroscopy, focusing on diagnosing and treating capsular iatrogenic hip instability after prior hip scopes. He highlights causes of post-arthroscopy hip pain, emphasizing instability due to capsular disruption. Diagnosis involves MR arthrograms and the axial distraction test under anesthesia. His studies show isolated capsular repair improves pain and function significantly. He describes surgical techniques for capsular repair and reconstruction using dermal allografts when native tissue is insufficient. Key pearls include reviewing prior surgery details, protecting intact capsule tissue, scar release for mobilization, and careful tension management to optimize outcomes in revision hip arthroscopy.

Keywords

capsular technical pearls

revision hip arthroscopy

iatrogenic hip instability

capsular repair techniques

dermal allograft reconstruction