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Hip Arthroscopy for Femoroacetabular Impingement: Emphasis on Capsular Management

February 10, 2018

Contributors: Brandon Charles Cabarcas, BS; Ani Gowd, BS; Shane Jay Nho, MD, FAAOS; Rachel M Frank, MD; Rachel M Frank, MD

The use of hip arthroscopy for the management of nonarthritic hip pathology, particularly femoroacetabular impingement, has increased substantially in the past decade. To access the hip joint, a capsulotomy or capsulectomy is initially performed. At the conclusion of the procedure, the capsulotomy is left open, partially repaired, or completely repaired. Concerns for macroinstability and microinstability have led some surgeons to routinely close the capsular defect at the conclusion of the procedure; however, no consensus currently exists with regard to the actual contribution of capsular hip repair to postoperative hip stability. This video describes the indications for, workup for, techniques for, and outcomes of patients undergoing hip arthroscopy for the management of femoroacetabular impingement, with an emphasis on restoration of anatomy via a thorough femoral osteochondroplasty and complete capsular closure.

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