AANA Hip Arthroscopy - September 2024-Primary Capsular Repair Techniques

Video Transcription

Video Summary

Dr. from University Medical Center discusses primary hip capsular repair techniques, emphasizing the evolution from safe access to preserving soft tissue structures for stability. Highlighting microinstability as an underreported issue, he stresses understanding the iliofemoral ligament's role in hip rotation and translation. Biomechanical studies show capsulotomy increases hip instability but repair restores normal kinematics. Common capsulotomies include periportal, interportal, and T-cuts, with detailed repair techniques advocating one stitch per hour of capsulotomy. Clinical studies demonstrate capsular repair reduces hip replacement conversion rates. Overall, capsule repair is biomechanically vital and clinically effective in restoring hip function after surgery.

Keywords

hip capsular repair

microinstability

iliofemoral ligament

capsulotomy techniques

biomechanical studies