Arthroscopic Technique of Capsular Plication for the Treatment of Hip Instability
Authors: Chandrasekaran S, Vemula SP, Martin TJ, Suarez-Ahedo C, Lodhia P, Domb BG
DOI: 10.1016/j.eats.2015.01.004
Purpose
To describe an arthroscopic surgical technique for capsular plication to treat atraumatic hip instability or microinstability.
Methods
- Detailed surgical approach with focus on patient selection (e.g., female sex, ligamentous laxity, borderline dysplasia).
- Technical pearls and pitfalls included.
Key Findings
- Capsular plication involves imbrication and inferior shifting of the capsule.
- Enhances hip stability by improving the screw-home mechanism of capsuloligamentous structures.
- Early clinical outcomes have been good to excellent in patients with microinstability.
What Does This Mean for Providers?
- Arthroscopic capsular plication is an effective minimally invasive option for patients with hip instability due to capsular laxity.
- Improves joint stability and may reduce pain without requiring open surgery.
- Important to identify appropriate patients based on risk factors and clinical presentation.
- Surgical technique requires precision to restore stability while avoiding over-tightening.