AANA19 Hip Access Pass-Hip Capsular Management-Dr. Shane J. Nho, M.D.

Hip Capsular Management-Dr. Shane J. Nho, M.D.

Video Transcription

Video Summary

The speaker discusses capsular management in hip surgery, emphasizing that strategy starts with the capsulotomy type, size, and location, particularly the interportal capsulotomy. Proper capsular management ensures full visualization, correction of FAI deformities, and restoration of iliofemoral ligament biomechanics. Large or unrepaired capsulotomies risk hip instability, necessitating repair or reconstruction. Gentle handling is crucial in hypermobile patients, with recommendations to maintain tissue margins and use suspension stitches for better access. Anatomic, watertight capsular repair improves patient outcomes, reduces complications, and lowers rates of revision and hip replacement. Not all capsulotomies or repairs are equal; technique impacts stability and healing.

Keywords

capsular management

hip surgery

interportal capsulotomy

iliofemoral ligament biomechanics

capsular repair