Arthroscopic Capsule Reconstruction in the Hip Using Iliotibial Band Allograft
The hip capsule has been identified as an important static stabilizer of the hip joint. Despite the intrinsic bony stability of the hip socket, the capsule plays a key role in hip stability, particularly at the extremes of motion, and the iliofemoral ligament is the most important stabilizer in exte...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2015-02-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628714001303 |
| _version_ | 1828961913857376256 |
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| author | Christiano A.C. Trindade, M.D. Gregory A. Sawyer, M.D. Kiyokazu Fukui, M.D., Ph.D. Karen K. Briggs, M.P.H. Marc J. Philippon, M.D. |
| author_facet | Christiano A.C. Trindade, M.D. Gregory A. Sawyer, M.D. Kiyokazu Fukui, M.D., Ph.D. Karen K. Briggs, M.P.H. Marc J. Philippon, M.D. |
| author_sort | Christiano A.C. Trindade, M.D. |
| collection | DOAJ |
| description | The hip capsule has been identified as an important static stabilizer of the hip joint. Despite the intrinsic bony stability of the hip socket, the capsule plays a key role in hip stability, particularly at the extremes of motion, and the iliofemoral ligament is the most important stabilizer in extension and external rotation. Patients who do not undergo capsular closure or plication may continue to complain of hip pain and dysfunction postoperatively, likely because of microinstability or muscle invagination into the capsular defect, and high-resolution magnetic resonance imaging or magnetic resonance arthrography will identify the capsular defect. Seen primarily in the revision setting, capsular defects can cause recurrent stress at the chondrolabral junction. An attempt at secondary closure can be challenging because of capsular limb adherence to the surrounding soft tissues. Therefore reconstruction may be the only possible surgical solution for this problem. We describe our new surgical technique for arthroscopic hip capsular reconstruction using iliotibial band allograft. |
| first_indexed | 2024-12-14T09:54:41Z |
| format | Article |
| id | doaj.art-b9fc8311e0ab45ee9b15eb68ad376e5b |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-14T09:54:41Z |
| publishDate | 2015-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-b9fc8311e0ab45ee9b15eb68ad376e5b2022-12-21T23:07:26ZengElsevierArthroscopy Techniques2212-62872015-02-0141e71e74Arthroscopic Capsule Reconstruction in the Hip Using Iliotibial Band AllograftChristiano A.C. Trindade, M.D.0Gregory A. Sawyer, M.D.1Kiyokazu Fukui, M.D., Ph.D.2Karen K. Briggs, M.P.H.3Marc J. Philippon, M.D.4Steadman Philippon Research Institute, Vail, Colorado, U.S.ASteadman Philippon Research Institute, Vail, Colorado, U.S.ASteadman Philippon Research Institute, Vail, Colorado, U.S.ASteadman Philippon Research Institute, Vail, Colorado, U.S.AAddress correspondence to Marc J. Philippon, M.D., Steadman Philippon Research Institute, 181 W Meadow Dr, Ste 1000, Vail, CO 81657, U.S.A.; Steadman Philippon Research Institute, Vail, Colorado, U.S.AThe hip capsule has been identified as an important static stabilizer of the hip joint. Despite the intrinsic bony stability of the hip socket, the capsule plays a key role in hip stability, particularly at the extremes of motion, and the iliofemoral ligament is the most important stabilizer in extension and external rotation. Patients who do not undergo capsular closure or plication may continue to complain of hip pain and dysfunction postoperatively, likely because of microinstability or muscle invagination into the capsular defect, and high-resolution magnetic resonance imaging or magnetic resonance arthrography will identify the capsular defect. Seen primarily in the revision setting, capsular defects can cause recurrent stress at the chondrolabral junction. An attempt at secondary closure can be challenging because of capsular limb adherence to the surrounding soft tissues. Therefore reconstruction may be the only possible surgical solution for this problem. We describe our new surgical technique for arthroscopic hip capsular reconstruction using iliotibial band allograft.http://www.sciencedirect.com/science/article/pii/S2212628714001303 |
| spellingShingle | Christiano A.C. Trindade, M.D. Gregory A. Sawyer, M.D. Kiyokazu Fukui, M.D., Ph.D. Karen K. Briggs, M.P.H. Marc J. Philippon, M.D. Arthroscopic Capsule Reconstruction in the Hip Using Iliotibial Band Allograft Arthroscopy Techniques |
| title | Arthroscopic Capsule Reconstruction in the Hip Using Iliotibial Band Allograft |
| title_full | Arthroscopic Capsule Reconstruction in the Hip Using Iliotibial Band Allograft |
| title_fullStr | Arthroscopic Capsule Reconstruction in the Hip Using Iliotibial Band Allograft |
| title_full_unstemmed | Arthroscopic Capsule Reconstruction in the Hip Using Iliotibial Band Allograft |
| title_short | Arthroscopic Capsule Reconstruction in the Hip Using Iliotibial Band Allograft |
| title_sort | arthroscopic capsule reconstruction in the hip using iliotibial band allograft |
| url | http://www.sciencedirect.com/science/article/pii/S2212628714001303 |
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