IC 108-2023: The Failed Hip Arthroscopy - How To Successfully Manage (and Not Replace) It-IC 108 - The Failed Hip Arthroscopy - How To Successfully Manage (and Not Replace) It (3/5)

IC 108 - The Failed Hip Arthroscopy - How To Successfully Manage (and Not Replace) It (3/5)

Video Transcription

Video Summary

In this video, the speaker discusses the importance of the hip capsule and the iliofemoral ligament in maintaining the health and stability of the joint. They talk about their approach to capsulotomy, emphasizing the need to preserve the iliofemoral ligament and the challenges they have encountered with thick ligaments. The speaker also explains their technique for capsule closure, using sutures and the Cabexia slider knot. They present results from a study on capsule closure, showing good outcomes with a low revision rate. They then discuss the issue of deficient capsules and their treatment options, including primary closure, use of biologics, reconstruction, and augmentation. The speaker explains their technique for capsular reconstruction, using an IT band allograft, and discusses the positive mid-term results they have observed. They conclude by emphasizing the importance of maintaining the capsule and identifying patients with capsule defects.

Asset Caption

Marc Philippon, MD

Keywords

hip capsule

iliofemoral ligament

capsulotomy

capsule closure

capsular reconstruction