New Techniques for Capsular Management in Hip Arthroscopy (Orthopedics This Week)
Benjamin Domb, M.D., founder of the American Hip Institute, has worked for years to develop two specific techniques for capsular management in hip arthroscopy; one for the treatment of hip instability and the other for the treatment of femoroacetabular impingement (FAI).
The first involves hip arthroscopy with labral preservation and capsular plication in patients with borderline hip dysplasia. Dr. Domb told OTW, “Atraumatic micro instability, often associated with borderline dysplasia of the hip, is a recognized cause of groin pain and hip pathology. In the past, literature has shown some disastrous outcomes of arthroscopy in the setting of instability or dysplasia. This may be because arthroscopy involved an incision in the capsule, and sometimes removal of part of the capsule, which might compromise one of the static stabilizers of an already unstable hip.
“Almost a decade ago we began working on a technique to tighten the capsule arthroscopically in order to augment the stability of such hips after arthroscopic labral repair or reconstruction. We found that the use of arthroscopic capsular plicati...
