The Failed Hip Arthroscopy - How to Successfully Manage (and Not Replace) It (AANA22)-Capsular Deficiency

Video Transcription

Video Summary

The speaker discusses the importance of the hip capsule in joint health, emphasizing preservation of the iliofemoral ligament during capsulotomy to prevent instability. They present data showing better outcomes with capsular repair versus non-repair, highlighting risks like micro-instability and labral tears. For large capsular defects, reconstruction using IT band allograft is described, detailing surgical technique and instrumentation. Midterm results show significant improvement and joint preservation in difficult cases. The capsule’s role in stability and pain reduction, especially related to muscular inflammation, is stressed. Primary repair is preferred, but reconstruction is a viable option when repair isn’t possible.

Asset Caption

Marc J. Philippon, M.D.

Keywords

hip capsule

iliofemoral ligament

capsulotomy

capsular repair

IT band allograft