Contemporary Hip Capsular Management and Closure Using a Suture Passing Device.

Area of Science:

• Orthopedic Surgery
• Hip Arthroscopy
• Sports Medicine

Background:

• Femoroacetabular impingement syndrome (FAIS) requires careful surgical planning.
• Capsular management is essential for successful FAIS correction, impacting visualization and hip stability.
• Iatrogenic microinstability can occur without adequate capsular closure.

Purpose of the Study:

• To describe a technique for capsular plication using a suture passing device.
• To emphasize the importance of comprehensive capsular closure in hip arthroscopy for FAIS.
• To provide guidance for fellowship-trained hip arthroscopists.

Main Methods:

• Fellowship-trained hip arthroscopist at a high-volume academic center.
• Utilized a suture passing device for capsular plication.
• Focused on technique for comprehensive capsular closure.

Main Results:

• The described technique facilitates adequate visualization for bony resection.
• Capsular plication using the suture passing device aids in preventing iatrogenic microinstability.
• Restoration of native hip biomechanical kinematics is supported by comprehensive closure.

Conclusions:

• Comprehensive capsular closure is vital for optimal outcomes in FAIS surgery.
• Suture passing devices offer an effective method for capsular plication.
• This technique helps restore hip joint stability and function post-arthroscopy.