A novel technique for open hip capsular reattachment and plication in hip preservation surgery: Technical note

This technical note presents a hip capsular reattachment and plication technique using an arthroscopically assisted mini-open direct anterior approach (DAA). By placing a dual-channeled suture anchor at or slightly proximal to the original capsular insertion in the posteroinferior groove of the anterior inferior iliac spine (AIIS), a controlled reattachment is achieved, with the option for a superior shift if required. This method minimizes iatrogenic damage and ensures stable capsular reattachment while allowing for a tailored shift and plication based on the desired degree of imbrication. Furthermore, it preserves anatomical integrity without increasing the risk of postoperative stiffness. LEVEL OF EVIDENCE: V.