Specialized Toolkit Series: Arthroscopic Hip Treatments-Capsular Management

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Video Summary

Capsular management in hip arthroscopy is crucial for joint access and involves various capsulotomy techniques like periportal, interportal, and T-shaped, each providing differing joint exposure. The interportal capsulotomy is commonly used for labral repairs, while T-capsulotomy aids in femoroplasty procedures. Maintaining a capsular cuff near the acetabular rim is vital for closure. Sutures are employed for retraction, enhancing visualization and protecting the capsule. Post-procedure, dynamic exams via fluoroscopy assess resection success, and capsular placation follows, using sutures to systematically close the capsule, ensuring effective repair before final exit.

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Shane J. Nho, MD, MS

Keywords

hip arthroscopy

capsulotomy techniques

labral repairs

femoroplasty

capsular closure