Arthroscopic capsulotomy, capsular repair, and capsular plication of the hip: relation to atraumatic instability
Authors
Domb BG, Philippon MJ, Giordano BD
DOI: 10.1016/j.arthro.2012.04.057
Purpose
To systematically review the literature on the hip joint capsule’s role in stability and instability and to evaluate arthroscopic techniques addressing the capsule: capsulotomy without closure, with closure, and capsular plication.
Methods
Two reviewers conducted a systematic review of PubMed and related references, selecting 47 relevant studies out of 5,085 based on inclusion/exclusion criteria focusing on the hip capsule’s anatomy, biomechanics, and clinical role.
Key Findings
The hip capsule is critical for joint stability.
- Arthroscopic approaches vary in whether the capsule is repaired or tightened after capsulotomy.
- Repair and plication techniques can restore capsule integrity and tension, potentially reducing hip instability.
Conclusion
Arthroscopic surgeons should be proficient in repairing or plicating the hip capsule when indicated to maintain or restore stability and prevent complications related to capsular deficiency.
What this means for patients
If you undergo hip arthroscopy, your surgeon may repair or tighten the hip capsule to ensure your hip remains stable and to improve your outcomes, especially if instability is a concern.