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Hip instability treated with arthroscopic capsular plication.

Michael M Kalisvaart1, Marc R Safran2

  • 1Orthopaedic Surgery, Stanford University, 450 Broadway, M/C 6342, Redwood City, CA, 94063, USA.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
|November 26, 2016
PubMed
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Arthroscopic capsular plication effectively treats hip instability, improving patient pain and function. This minimally invasive hip surgery addresses anterior labral tears and cartilage damage without bone procedures.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Hip Arthroscopy

Background:

  • Atraumatic hip microinstability can lead to intra-articular pathology, including anterior labral tears.
  • Hip instability often presents with associated cartilage damage, impacting patient function.

Purpose of the Study:

  • To evaluate hip arthroscopy with capsular plication for atraumatic hip microinstability and associated labral/cartilage pathology.
  • To assess outcomes without performing bony procedures on the acetabulum or proximal femur.

Main Methods:

  • Thirty-two patients underwent hip arthroscopy and suture capsular plication for hip instability.
  • Clinical outcomes were assessed using the modified Harris hip score (mHHS) and iHOT score.
  • Follow-up was a minimum of 12 months, with evaluations at multiple postoperative intervals.
Keywords:
ArthroscopyHipInstability

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Main Results:

  • Significant improvement in mean mHHS (67 to 97) and iHOT score (41 to 85) was observed.
  • No significant difference in outcomes was found between patients with and without mild hip dysplasia.
  • Patient age, symptom duration, and preoperative findings did not significantly correlate with clinical outcomes.

Conclusions:

  • Isolated arthroscopic suture capsular plication is an effective treatment for hip instability.
  • The procedure leads to improved patient-reported pain and function at a minimum of 1-year follow-up.