Arthroscopic hip surgery has become a well-accepted approach to treating numerous hip pathologies, including irrigation and debridement of an infected joint; loose body removal; synovectomy; treatment of femoroacetabular impingement (FAI); impingement of the ligamentum teres; management of labral tears; debridement for osteoarthritis; biopsy; intraoperative control of osteotomy or epiphysiolysis; synovial chondromatosis; and thermal capsulorrhaphy
and capsular plication for subtle rotational instability and capsular laxity.
Researchers conclude that proximal femur resection with endoprosthetic reconstruction is a complex surgical procedure, and that preservation of the acetabulum (hip socket) and joint capsule (sac surrounding the joint), capsulorrhaphy
(suture of a tight closure of the joint capsule), and reconstruction of the abductor mechanism are major determinants of joint stability in resections.
Arthroscopy is also covered for subacromial decompression and acromioclavicular joint resection, thermal capsulorrhaphy
, and other procedures.
is one such technique that has been used to stabilize shoulders with multidirectional instability.
It usually entails arthroscopic capsulorrhaphy
or labral repair, debridement of partial rotator cuff tears and subacromial decompression, based on the underlying pathology.
All underwent concomitant release of the associated shoulder contracture by subscapularis slide, and 11 with persistent posterior instability after subscapularis slide underwent simultaneous open reduction and posterior capsulorrhaphy
ALPSA lesions have been successfully treated arthroscopically by mobilizing the tissue from the scapular neck and converting them into Bankart lesions with subsequent repair and capsulorrhaphy
Byrd reviewed four patients who underwent thermal capsulorrhaphy
for hip instability with minimum 2-year follow-up; HHS increased from 52.
Reconstructive options for the associated internal rotation contracture include capsuloplasty, open reduction and posterior capsulorrhaphy
, pectoralis major tenotomy, and subscapularis slide.
The Silver procedure is a medial capsulorrhaphy
, medial exostectomy, lateral capsular release, and adductor release.
The purpose of this study was to review the results of posterior capsulorrhaphy
in a consecutive series of patients with recurrent posterior instability.
Boyd HB, Hunt HL: Recurrent dislocation of the shoulder: the staple capsulorrhaphy