Scope Essentials 2024-Management of Capsule

Video Transcription

Video Summary

The video discusses hip capsule management, emphasizing stability as a key concern. The capsule's ligaments (iliofemoral, ischiofemoral, pubofemoral, zona orbicularis) contribute to hip stability. Capsulotomies, especially if left unrepaired, can cause macro- and micro-instability. The presenter prefers minimal interportal capsulotomies and capsule closure to prevent instability, improve biomechanics, and enhance patient outcomes. Techniques include suspension sutures and figure-of-eight closures. For large defects, bio-adductive implants or allografts may augment repairs. Benefits of closure include reduced risk of instability, better outcomes, and less adhesion. Though technically challenging, capsule closure is considered standard care in hip arthroscopy today.

Asset Caption

Thomas Wuerz, M.D.

Keywords

hip capsule management

capsulotomy

hip stability

capsule closure techniques

hip arthroscopy