Capsular Traction-Assisted Hip Arthroscopy: An Alternative to T-Capsulotomy for Osteochondroplasty

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Capsular Traction-Assisted Hip Arthroscopy: An Alternative to T-Capsulotomy for Osteochondroplasty

By Jose Felix Castillo Saenz FEATURING Emilio Tufiño

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June 30, 2024

The capsule management during hip arthroscopy continues to be an important concern independently of the ...
read more ↘ approach (inside-out or outside-in. Preserving most of the anatomy of the capsule ligaments is challenging when we have hips with large cam deformities. Appealing for a T-capsulotomy is a good option to improve visualization, but it requires to disrupt the zona orbicularis increasing the risk for developing instability if not repaired properly or hip adhesions and motion restriction when we do close it or secondary to the capsular disruption itself. With that in mind, we developed this technique to assist us during the hip arthroscopy, specifically in the osteochondroplasty. By doing this, we improve our visualization of the femoral head-neck junction when correcting a cam deformity in a less invasive way, preserving more of the normal anatomy of the hip capsule.
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