Spring 2020 Fellows Webinars-Capsular Management for Hip Arthroscopy

Video Transcription

Video Summary

The video discusses the importance of capsular management in hip surgeries. The hip capsule is formed by three ligaments: the iliofemoral ligament, the ischial femoral ligament, and the pubofemoral ligament. The iliofemoral ligament is particularly strong and provides stability to the hip joint. Disruption of the capsule can lead to post-operative instability and micro instability. Common causes of capsule disruption include excessive capsulotomy or capsulectomy without repair, over-resection of bone during arthroscopy, and over-distraction of the hip. The video discusses different types of capsulotomy procedures, such as the interportal, T-capsulotomy, puncture capsulotomy, and periportal capsulotomy. The decision to close the capsule after surgery depends on the type of capsulotomy performed and the status of the capsule. Closure is important for patients with micro instability or symptoms of instability. The video also discusses the importance of minimizing trauma during hip distraction and protecting the capsule during peripheral compartment work. If the capsule is deficient, it can be repaired or reconstructed using allograft or regenerative patches. The video concludes with a case study of a patient who underwent capsulotomy repair and experienced improved stability and decreased pain post-surgery.

Asset Subtitle

May 13, 2020

Keywords

capsular management

hip surgeries

hip capsule

ligaments

capsule disruption

micro instability

capsulotomy procedures

capsule closure

hip instability