A Method for Capsular Management and Avoidance of Iatrogenic Instability: Minimally Invasive Capsulotomy in Hip Arthroscopy
Most surgeons create a T-shaped or interportal capsulotomy to ensure good visibility when performing hip arthroscopy. This entails transecting the iliofemoral ligament, which may or may not be repaired at the end of the procedure. Cases of iatrogenic hip instability and pain after hip arthroscopy su...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2017-04-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628716301979 |
| _version_ | 1819002558283251712 |
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| author | Csaba Forster-Horvath, M.D., Ph.D. Benjamin G. Domb, M.D. Lyall Ashberg, M.D. Richard F. Herzog, M.D. |
| author_facet | Csaba Forster-Horvath, M.D., Ph.D. Benjamin G. Domb, M.D. Lyall Ashberg, M.D. Richard F. Herzog, M.D. |
| author_sort | Csaba Forster-Horvath, M.D., Ph.D. |
| collection | DOAJ |
| description | Most surgeons create a T-shaped or interportal capsulotomy to ensure good visibility when performing hip arthroscopy. This entails transecting the iliofemoral ligament, which may or may not be repaired at the end of the procedure. Cases of iatrogenic hip instability and pain after hip arthroscopy suggest that the iliofemoral ligament plays a crucial role in the stability of the hip joint, and thus preservation should be a goal in hip arthroscopy. We describe a minimally invasive iliofemoral ligament–sparing capsulotomy, guided by the reflected head of the rectus tendon, that can be easily repaired after arthroscopic rim trimming, labral refixation, and offset correction. |
| first_indexed | 2024-12-20T23:07:01Z |
| format | Article |
| id | doaj.art-c8f00e5a664f4b0c92010c5ef0e5e525 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-20T23:07:01Z |
| publishDate | 2017-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-c8f00e5a664f4b0c92010c5ef0e5e5252022-12-21T19:23:49ZengElsevierArthroscopy Techniques2212-62872017-04-0162e397e400A Method for Capsular Management and Avoidance of Iatrogenic Instability: Minimally Invasive Capsulotomy in Hip ArthroscopyCsaba Forster-Horvath, M.D., Ph.D.0Benjamin G. Domb, M.D.1Lyall Ashberg, M.D.2Richard F. Herzog, M.D.3Orthopaedic Department, Lucerne County Hospitals Wolhusen, Wolhusen, Switzerland; Address correspondence to Csaba Forster-Horvath, M.D., Ph.D., Lucerne County Hospitals Wolhusen, Spitalstrasse, 6110 Wolhusen, Switzerland.American Hip Institute, Westmont, Illinois, U.S.A.; Hinsdale Orthopaedics, Westmont, Illinois, U.S.A.American Hip Institute, Westmont, Illinois, U.S.A.; Hinsdale Orthopaedics, Westmont, Illinois, U.S.A.Orthopaedic Department, Lucerne County Hospitals Wolhusen, Wolhusen, SwitzerlandMost surgeons create a T-shaped or interportal capsulotomy to ensure good visibility when performing hip arthroscopy. This entails transecting the iliofemoral ligament, which may or may not be repaired at the end of the procedure. Cases of iatrogenic hip instability and pain after hip arthroscopy suggest that the iliofemoral ligament plays a crucial role in the stability of the hip joint, and thus preservation should be a goal in hip arthroscopy. We describe a minimally invasive iliofemoral ligament–sparing capsulotomy, guided by the reflected head of the rectus tendon, that can be easily repaired after arthroscopic rim trimming, labral refixation, and offset correction.http://www.sciencedirect.com/science/article/pii/S2212628716301979 |
| spellingShingle | Csaba Forster-Horvath, M.D., Ph.D. Benjamin G. Domb, M.D. Lyall Ashberg, M.D. Richard F. Herzog, M.D. A Method for Capsular Management and Avoidance of Iatrogenic Instability: Minimally Invasive Capsulotomy in Hip Arthroscopy Arthroscopy Techniques |
| title | A Method for Capsular Management and Avoidance of Iatrogenic Instability: Minimally Invasive Capsulotomy in Hip Arthroscopy |
| title_full | A Method for Capsular Management and Avoidance of Iatrogenic Instability: Minimally Invasive Capsulotomy in Hip Arthroscopy |
| title_fullStr | A Method for Capsular Management and Avoidance of Iatrogenic Instability: Minimally Invasive Capsulotomy in Hip Arthroscopy |
| title_full_unstemmed | A Method for Capsular Management and Avoidance of Iatrogenic Instability: Minimally Invasive Capsulotomy in Hip Arthroscopy |
| title_short | A Method for Capsular Management and Avoidance of Iatrogenic Instability: Minimally Invasive Capsulotomy in Hip Arthroscopy |
| title_sort | method for capsular management and avoidance of iatrogenic instability minimally invasive capsulotomy in hip arthroscopy |
| url | http://www.sciencedirect.com/science/article/pii/S2212628716301979 |
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