Arthroscopic Hip Capsular Reconstruction

Hip capsular reconstruction is an emerging surgical option for treating irreparable capsular deficiency in the setting of hip microinstability. While prevention through meticulous capsular preservation and repair remains paramount, reconstruction offers a viable solution in revision cases or after aggressive capsulectomy. Multiple graft options, including iliotibial band, dermal allograft, and Achilles tendon, have demonstrated biomechanical restoration of stability, though optimal choice and long-term efficacy remain under investigation. Careful patient selection, adherence to surgical principles, and structured rehabilitation are critical to maximizing outcomes.