Hip Capsular Repair Results in Improved Patient-Reported Outcomes and Survivorship: A Systematic Review of the Literature
Authors: Carbone AD, Prabhavalkar O, Chishti Z, Curley AJ, Parsa A, Domb BG
Journal: Arthroscopy, February 2023
DOI: 10.1016/j.arthro.2022.11.013
Background
Capsular repair during hip arthroscopy is increasingly performed to improve outcomes for femoroacetabular impingement (FAI). This review compares patient outcomes and hip survivorship between capsular repair and non-repair (capsulotomy).
Methods
- Systematic review including 249 hips with capsular repair and 157 hips with capsulotomy.
- Outcomes assessed included patient-reported outcomes (PROs) and hip survivorship.
Key Findings
- Capsular repair resulted in significantly higher PRO scores, including modified Harris Hip Scores (mHHS) and Hip Outcome Score-Sport-Specific Subscale (HOS-SSS).
- Survivorship of the native hip was higher in the capsular repair group.
Conclusions
Routine capsular repair during hip arthroscopy for FAI improves patient outcomes and hip survivorship compared to capsulotomy without repair.
What Does This Mean for Providers?
- Capsular repair should be strongly considered as a standard part of hip arthroscopy to optimize functional outcomes and prolong native hip survival.
- The evidence supports integrating capsular repair into surgical technique protocols for FAI management.
- Patient counseling should highlight the potential benefits of capsular repair on long-term hip function and durability.