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Surgical Technique: Arthroscopic Capsular Plication

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Hip Arthroscopy and Hip Joint Preservation Surgery

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Abstract

Despite the inherent stability provided to the hip joint through its bony constraints, the surrounding capsuloligamentous structures comprising the hip capsule are vital to maintain native hip function. During hip arthroscopy, a capsulotomy is essential to allow for adequate visualization and instrument navigation to address intracapsular pathology within the hip joint. Failure to close the capsule may result in iatrogenic hip instability or microinstability, leading to persistent pain, disability, and the need for revision surgery. As a result, arthroscopic capsular plication may be indicated in cases of ligamentous laxity or microinstability during primary or revision hip arthroscopy to reduce capsular redundancy, decrease intracapsular volume, and tighten capsuloligamentous structures. This chapter describes our technique for arthroscopic capsular plication using either an interportal or T-capsulotomy, while providing a concise overview of the literature regarding capsular closure.

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Author information

Authors and Affiliations

  1. University Hospitals Sports Medicine Institute, Cleveland, OH, USA

    Derrick M. Knapik & Michael J. Salata

  2. Section of Young Adult Hip Surgery, Department of Orthopedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, IL, USA

    Alexander C. Newhouse & Shane J. Nho

Authors
  1. Derrick M. Knapik
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  2. Michael J. Salata
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  3. Alexander C. Newhouse
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  4. Shane J. Nho
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Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA

    Shane J. Nho

  2. Department of Orthopedic Surgery, University of Michigan, Ann Arbor, MI, USA

    Bedi Asheesh

  3. Department of Orthopedic Surgery, Case Western Reserve University, Cleveland, OH, USA

    Michael J. Salata

  4. Department of Orthopedic Surgery, Duke Medical Center, Durham, NC, USA

    Richard C. Mather III

  5. Department of Orthopedic Surgery, Weill Medical College of Cornell Univers, New York, NY, USA

    Bryan T. Kelly

Section Editor information

  1. Premier Hip Arthroscopy, Marina del Rey, CA, USA

    Dean K. Matsuda

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Knapik, D.M., Salata, M.J., Newhouse, A.C., Nho, S.J. (2021). Surgical Technique: Arthroscopic Capsular Plication. In: Nho, S.J., Asheesh, B., Salata, M.J., Mather III, R.C., Kelly, B.T. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7321-3_149-1

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  • DOI: https://doi.org/10.1007/978-1-4614-7321-3_149-1

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7321-3

  • Online ISBN: 978-1-4614-7321-3

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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