Arthroscopic Technique of Capsular Plication for the Treatment of Hip Instability
Authors
Chandrasekaran S, Vemula SP, Martin TJ, Suarez-Ahedo C, Lodhia P, Domb BG
DOI: 10.1016/j.eats.2015.01.004
Purpose
To describe a step-by-step arthroscopic surgical technique for capsular plication aimed at treating atraumatic hip instability or microinstability.
Methods
The article details the surgical approach, including indications, technique pearls, and potential pitfalls, focusing on patients with risk factors such as female sex, ligamentous laxity, and borderline dysplasia.
Key Findings
- Capsular plication involves imbrication and inferior shifting of the hip capsule.
- This technique improves hip stability by enhancing the screw-home mechanism of capsuloligamentous structures, especially during extension and external rotation.
- Early clinical results in patients with hip microinstability have been good to excellent.
Conclusion
Arthroscopic capsular plication is a viable technique to address hip instability in patients with capsular laxity, improving joint stability.
What This Means for Patients
Patients experiencing hip instability and associated pain may benefit from this minimally invasive procedure, which can restore stability and reduce symptoms without open surgery.