Capsular Management of the Hip During Arthroscopic Acetabular Chondral Resurfacing: Pearls, Pitfalls, and Optimal Surgical Technique

Capsular Management of the Hip During Arthroscopic Acetabular Chondral Resurfacing: Pearls, Pitfalls, and Optimal Surgical Technique

Authors

Lall AC, Ankem HK, Diulus SC, Maldonado DR, Meghpara MB, Rosinsky PJ, Shapira J, Domb BG
DOI: 10.1016/j.eats.2020.10.045

Background

Hip arthroscopy for treating femoroacetabular impingement (FAI) often involves managing chondral damage (cartilage wear). A key aspect of these surgeries is capsular management, which can impact the success of the procedure. This article focuses on optimal capsular management during acetabular chondral resurfacing.

Methods

The article outlines a step-by-step approach to capsular closure during arthroscopic acetabular resurfacing using BioCartilage (Arthrex, Naples, FL). It emphasizes the importance of proper capsular closure to avoid hip instability and protect the cartilage graft.

Key Findings

Proper capsular management is essential for preventing instability after hip arthroscopy. The article provides practical tips for successfully closing the joint capsule, which can help improve the chances of a successful outcome, especially in patients undergoing chondral resurfacing.

Conclusions

For patients undergoing hip arthroscopy with chondral resurfacing, effective capsular closure is crucial. The described technique provides a reproducible and safe method to ensure better outcomes in these surgeries.

What Does This Mean for Patients

If you're undergoing hip arthroscopy for cartilage damage, the way the surgeon manages the joint capsule can significantly affect your recovery. This method enhances the chances of a successful result by ensuring the capsule is properly closed during surgery.