Capsular Preservation Using Suture Suspension Technique in Hip Arthroscopy for Femoroacetabular Impingement

Autor: Andrea M. Spiker, M.D., Christopher L. Camp, M.D., Brian T. Barlow, M.D., Shawn G. Anthony, M.D., Struan H. Coleman, M.D.
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Arthroscopy Techniques, Vol 5, Iss 4, Pp e883-e887 (2016)
Druh dokumentu: article
ISSN: 2212-6287
DOI: 10.1016/j.eats.2016.04.014
Popis: This article describes the use of sutures to enhance visualization while protecting the capsule in both the central and peripheral compartments during hip arthroscopy. We describe first a technique to preserve the proximal capsule cuff while working in the central compartment and then an alternative to the T-capsulotomy while maintaining excellent visualization of the peripheral compartment during femoroplasty of cam-type femoroacetabular impingement. By use of suture suspension of the capsule, multiple goals are achieved: The integrity of the proximal capsule cuff is maintained while aiding in visualization of the central compartment; the iliofemoral ligament is spared, which plays a critical role in preventing microinstability; the necessary space is created to obtain adequate visualization of the peripheral compartment for complete femoroplasty; and operative time is reduced because creation and subsequent repair of the T-capsulotomy can be avoided.
Databáze: Directory of Open Access Journals