Advances in Capsular Management in Hip Arthroscopy

Description

The presentation, led by Kwadwo Owusu-Akyaw, focuses on the evolving techniques in hip arthroscopy, particularly the importance of capsular management. Owusu-Akyaw introduces himself as a member of the 2019/2020 HSS Sports Fellows class and discusses the significance of understanding capsular anatomy in relation to hip stability and iatrogenic instability following surgery. Throughout the presentation, various capsular ligaments are explored, specifically the iliofemoral ligament, pubofemoral ligament, ischiofemoral ligament, and the zona orbicularis, each contributing uniquely to hip stability.



The speaker emphasizes that routine closure of the capsule is becoming common practice in hip arthroscopy, with emerging data indicating that proper capsular closure correlates with improved patient outcomes, including faster returns to sport and better overall recovery.



He provides insights on different capsular management techniques, such as the periportal capsulotomy, interportal capsulotomy, and T capsulotomy, noting how various approaches can minimize damage to ligaments while maximizing surgical access. He concludes by proposing that understanding individual patient anatomy and risk factors can guide tailored approaches to capsular management, ultimately enhancing treatment outcomes in hip arthroscopy.



Overall, the presentation serves as a comprehensive overview of current practices and future directions in hip arthroscopy, underscoring the critical role of meticulous capsular management.

Specialties