APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Capsular Technical Pearls in Revision Hip Arthroscopy

Capsular Technical Pearls in Revision Hip Arthroscopy

Video Transcription

Video Summary

Steve Aoki from the University of Utah discusses capsular technical pearls in revision hip arthroscopy, focusing on instability after previous hip arthroscopy. He highlights causes like capsulotomy, rim trim, and labral resection leading to anterior hip extrusion. Diagnosis challenges include subtle instability symptoms, with MR arthrograms revealing capsular defects. The axial distraction test helps identify instability, showing improved outcomes with isolated capsular repair. Surgical pearls include reviewing prior surgery details, using non-tooth shavers, mobilizing scar tissue, and choosing between capsular repair or reconstruction with dermal allografts based on tissue tension and defects.

Keywords

capsular technical pearls

revision hip arthroscopy

hip instability

capsular repair

dermal allografts