Hip Capsular Repair Results in Improved Patient-Reported Outcomes and Survivorship: A Systematic Review of the Literature

Hip Capsular Repair Results in Improved Patient-Reported Outcomes and Survivorship: A Systematic Review of the Literature

Authors

Carbone AD, Prabhavalkar O, Chishti Z, Curley AJ, Parsa A, Domb BG

Journal

Arthroscopy, February 2023

Background

Capsular repair is often performed during hip arthroscopy to treat femoroacetabular impingement (FAI). This study reviews the impact of capsular repair on patient outcomes and hip survivorship.

Methods

• Systematic review of studies comparing outcomes for patients who underwent capsular repair versus capsulotomy (no repair).
• Data from 249 hips with capsular repair and 157 hips with capsulotomy were included.

Key Findings

• Capsular repair resulted in significantly better patient-reported outcomes (PROs) compared to capsulotomy.
• Modified Harris Hip Scores (mHHS) and Hip Outcome Score-Sport-Specific Subscale (HOS-SSS) were higher in the capsular repair group.
• Survivorship rates were also higher in the capsular repair group.

Conclusions

Routine capsular repair during hip arthroscopy results in better patient outcomes and higher hip survivorship rates compared to non-repair procedures.

What Does This Mean For Patients

If you undergo hip arthroscopy for FAI, capsular repair can lead to better pain relief and hip function, and it may help your hip last longer.