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| http://dx.doi.org/10.1093/jhps/hnz043 | DOI Listing |
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Basic Hip Arthroscopy Part 3: Peripheral-Compartment Arthroscopy (T-Capsulotomy, Femoroplasty, and Capsular Closure).
Arthrosc Tech
December 2024
From the Department of Orthopedics, Rush University Medical Center, Chicago, Illinois, U.S.A.
Over the past decade, hip preservation strategies have gained momentum, resulting in a notable increase in the use of hip arthroscopy for diagnostic and therapeutic interventions for hip-related pathology. In this 3-part series, we aim to comprehensively review the fundamentals of hip arthroscopy in the setting of femoroacetabular impingement. This Technical Note will thoroughly review the senior authors' approach to managing the peripheral compartment of the hip in the context of femoroacetabular impingement.
View Article and Find Full Text PDFLong-term Outcomes of Primary Hip Arthroscopy: Multicenter Analysis at Minimum 10-Year Follow-up With Attention to Labral and Capsular Management.
Am J Sports Med
April 2024
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Background: Hip arthroscopy is rapidly advancing, with positive published outcomes at short- and midterm follow-up; however, available long-term data remain limited.
Purpose: To evaluate outcomes of primary hip arthroscopy at a minimum 10-year follow-up at 2 academic centers by describing patient-reported outcomes and determining reoperation and total hip arthroplasty (THA) rates.
Study Design: Case series; Level of evidence, 4.
Hip Capsular Closure in Distraction: A Technique to Allow Easier Closure of T and Interportal Capsulotomies.
Arthrosc Tech
August 2023
Department of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, U.S.A.
Article Synopsis
- Capsule closure during hip arthroscopy has been shown to improve patient outcomes and reduce complications.
- The article describes effective techniques for managing the hip capsule, particularly when passing sutures under traction, which enhances visibility and reduces the difficulty of the procedure.
- Using this method lowers the risk of damaging cartilage by increasing the space between the femoral head and the capsule during the closure process.
Proximal Anterolateral Accessory Portal Use Improves Peripheral Compartment Access and Capsular Management with T-Capsulotomy.
Arthrosc Tech
February 2023
Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina.
One of the primary goals of hip arthroscopy for femoroacetabular impingement (FAI) syndrome is precise removal of pathologic FAI morphology while protecting and restoring the normal soft tissue anatomy. Adequate visualization is a key foundation of precise removal of FAI morphology and varying types of capsulotomies are frequently used to achieve necessary exposure. Anatomic and outcomes studies have influenced an increasing appreciation for repairing these capsulotomies.
View Article and Find Full Text PDFImpact of Capsulotomy on Hip Biomechanics during Arthroscopy.
Medicina (Kaunas)
October 2022
Department of Orthopaedics Surgery, School of Medicine, Chosun University Hospital, Gwangju 61453, Korea.
: Anterior capsulotomy is routinely performed in hip arthroscopy to improve joint visualization; however, this can partly or completely disrupt the stabilizing ligaments of the hip. This study aimed to report the effects of conventional and extensive arthroscopic capsulotomies on hip stability. : Eight freshly frozen cadaveric pelvises were used in this study.
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