APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Primary Capsular Repair Techniques

Video Transcription

Video Summary

Dr. from University Medical Center Chicago discusses primary capsular repair in hip arthroscopy. Over decades, focus shifted from safe access to soft tissue preservation, highlighting the capsule's role in hip stability. Micro instability, often underreported, involves iliofemoral ligament damage critical for restraining motion. Biomechanical studies show capsulotomy increases hip translation and rotation, but repair restores native kinematics. Preferred techniques include interportal and T-cut capsulotomies, with repair stitches applied proportional to incision size. Clinical data show capsular repair reduces revision and hip replacement rates. Overall, capsular repair is crucial for restoring hip function and improving surgical outcomes in hip preservation surgery.

Asset Caption

Shane J. Nho, M.D.

Keywords

hip arthroscopy

capsular repair

hip stability

iliofemoral ligament

capsulotomy techniques