Routine Complete Capsular Closure During Hip Arthroscopy
The utility of hip arthroscopy has recently progressed beyond diagnostic to therapeutic purposes addressing central and peripheral compartment pathologies. Capsulotomy provides freedom of visualization and instrumentation. The contribution to hip stability of both dynamic and static hip structures i...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2013-05-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628712000643 |
| _version_ | 1818836864213188608 |
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| author | Joshua D. Harris, M.D. William Slikker, III, M.D. Anil K. Gupta, M.D., M.B.A. Frank M. McCormick, M.D. Shane J. Nho, M.D., M.S. |
| author_facet | Joshua D. Harris, M.D. William Slikker, III, M.D. Anil K. Gupta, M.D., M.B.A. Frank M. McCormick, M.D. Shane J. Nho, M.D., M.S. |
| author_sort | Joshua D. Harris, M.D. |
| collection | DOAJ |
| description | The utility of hip arthroscopy has recently progressed beyond diagnostic to therapeutic purposes addressing central and peripheral compartment pathologies. Capsulotomy provides freedom of visualization and instrumentation. The contribution to hip stability of both dynamic and static hip structures is not fully understood. However, both basic science biomechanical and clinical outcome studies have exhibited a relevant role of the capsule in hip stability. Though rare, iatrogenic post-arthroscopy subluxation and dislocation have been reported. Therefore many surgeons have cautioned against aggressive capsulotomy or capsulectomy without repair, because of the potential for precipitation of iatrogenic hip instability. We typically perform a “T” capsulotomy and recommend complete capsular closure in conjunction with labral repair and osseous femoral and acetabular treatment. A safe, efficient, and effective method to accomplish complete capsular closure is presented to reduce iatrogenic postoperative hip instability. |
| first_indexed | 2024-12-19T03:13:23Z |
| format | Article |
| id | doaj.art-68dc739c1571471d848feb5e6c483a39 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-19T03:13:23Z |
| publishDate | 2013-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-68dc739c1571471d848feb5e6c483a392022-12-21T20:37:57ZengElsevierArthroscopy Techniques2212-62872013-05-0122e89e94Routine Complete Capsular Closure During Hip ArthroscopyJoshua D. Harris, M.D.0William Slikker, III, M.D.1Anil K. Gupta, M.D., M.B.A.2Frank M. McCormick, M.D.3Shane J. Nho, M.D., M.S.4Hip Preservation Center, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Rush Medical College, Rush University, Chicago, Illinois, U.S.AHip Preservation Center, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Rush Medical College, Rush University, Chicago, Illinois, U.S.AHip Preservation Center, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Rush Medical College, Rush University, Chicago, Illinois, U.S.AHip Preservation Center, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Rush Medical College, Rush University, Chicago, Illinois, U.S.AAddress correspondence to Shane J. Nho, M.D., M.S., Midwest Orthopaedics at Rush, 1611 W Harrison St, Ste 300, Chicago, IL 60612, U.S.A.; Hip Preservation Center, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Rush Medical College, Rush University, Chicago, Illinois, U.S.AThe utility of hip arthroscopy has recently progressed beyond diagnostic to therapeutic purposes addressing central and peripheral compartment pathologies. Capsulotomy provides freedom of visualization and instrumentation. The contribution to hip stability of both dynamic and static hip structures is not fully understood. However, both basic science biomechanical and clinical outcome studies have exhibited a relevant role of the capsule in hip stability. Though rare, iatrogenic post-arthroscopy subluxation and dislocation have been reported. Therefore many surgeons have cautioned against aggressive capsulotomy or capsulectomy without repair, because of the potential for precipitation of iatrogenic hip instability. We typically perform a “T” capsulotomy and recommend complete capsular closure in conjunction with labral repair and osseous femoral and acetabular treatment. A safe, efficient, and effective method to accomplish complete capsular closure is presented to reduce iatrogenic postoperative hip instability.http://www.sciencedirect.com/science/article/pii/S2212628712000643 |
| spellingShingle | Joshua D. Harris, M.D. William Slikker, III, M.D. Anil K. Gupta, M.D., M.B.A. Frank M. McCormick, M.D. Shane J. Nho, M.D., M.S. Routine Complete Capsular Closure During Hip Arthroscopy Arthroscopy Techniques |
| title | Routine Complete Capsular Closure During Hip Arthroscopy |
| title_full | Routine Complete Capsular Closure During Hip Arthroscopy |
| title_fullStr | Routine Complete Capsular Closure During Hip Arthroscopy |
| title_full_unstemmed | Routine Complete Capsular Closure During Hip Arthroscopy |
| title_short | Routine Complete Capsular Closure During Hip Arthroscopy |
| title_sort | routine complete capsular closure during hip arthroscopy |
| url | http://www.sciencedirect.com/science/article/pii/S2212628712000643 |
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