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Hip Arthroscopists Consistently Use Capsular Closure With Preference for Interportal Capsulotomy
Cory J Call1, Matthew L Kuik1,2, Alison M Mueller1
1Department of Orthopedics and Rehabilitation University of Wisconsin School of Medicine and Public Health Madison Wisconsin U.S.A.
Arthroscopy, Sports Medicine, and Rehabilitation
|July 25, 2026
Summary
Hip arthroscopy trends show interportal capsulotomy is preferred. Capsular closure is common, with a trend towards more consistent practices, though no significant change in frequency was observed over five years.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Hip Preservation Surgery
Background:
- Hip arthroscopy is a common procedure for hip joint issues.
- Capsular management is a critical aspect of hip arthroscopy.
- Understanding current practices is essential for improving patient outcomes.
Purpose of the Study:
- To analyze trends in capsular management techniques during hip arthroscopy.
- To investigate changes in surgical practices over a five-year period (2018-2023).
- To compare international and US-based surgical approaches.
Main Methods:
- A repeated international cross-sectional survey was used.
- The survey targeted surgeons identified through PubMed and professional society lists.
- Data on surgical techniques, protocols, and complications were collected and analyzed for trends.
Main Results:
- Interportal capsulotomy remained the most frequent technique for hip access.
- Capsular closure was widely adopted, with a trend towards increased consistency.
- T-capsulotomy users were more likely to perform routine closure than interportal capsulotomy users.
Conclusions:
- Interportal capsulotomy is the established standard for hip arthroscopy access.
- While closure practices are becoming more consistent, overall frequency has not significantly changed.
- Insights into evolving capsular management can guide future hip preservation surgery guidelines.
