Proximal Capsular Augmentation With the Indirect Head of the Rectus Femoris for Longitudinal Capsulotomy in Primary Hip Arthroscopy

The positive effect of the capsular closure in maintaining the integrity of the joint capsule has been demonstrated, but most capsular closure techniques are primarily for interportal capsulotomy, with few techniques described for longitudinal capsulotomy. In our clinical practice, the incomplete cl...

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Bibliographic Details
Main Authors: Shi-Yu Sha, M.S., Tao Liang, M.S., Yi Liu, M.D., Quan-He Jin, M.D., Wen-Guang Liu, M.D., Qing-Feng Yin, M.D.
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724003979
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Summary:The positive effect of the capsular closure in maintaining the integrity of the joint capsule has been demonstrated, but most capsular closure techniques are primarily for interportal capsulotomy, with few techniques described for longitudinal capsulotomy. In our clinical practice, the incomplete closure of the proximal capsule in longitudinal capsulotomy may result in weakness or nonunion of the proximal capsule. Thus, we propose a technique of anatomic repair of the joint capsule with the indirect head of the rectus femoris as proximal augmentation in cases of longitudinal capsulotomy. This technique could provide a plausible and feasible solution for complete capsular closure of the longitudinal capsulotomy, which could decrease the risk of weakness or nonunion of the proximal capsule.
ISSN:2212-6287