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Periportal capsulotomy: Technique and outcomes for a limited capsulotomy during hip arthroscopy

Arthroscopy Mar 16, 2019

Chambers CC, et al. - In this Retrospective review, 149 candidates were analyzed to estimate the method and consequences of a limited periportal capsulotomy without capsular closure for arthroscopic treatment of femoroacetabular impingement (FAI). No major postoperative complications like hip instability or reoperation were observed. They recorded significant improvements in mean patient-reported results from preoperative scores at the 1- and 2-year follow-ups including modified Harris Hip Score, 18.4 ± 19.1, 21.1 ±17.7; Hip Disability and Osteoarthritis Outcome Score (HOOS) symptoms, 20.1 ± 21.2, 22.8 ± 23.5; HOOS pain, 23.4 ± 21.2, 27.6 ± 19.3; HOOS activities of daily life, 21.2 ± 20.8, 24.3 ± 21.6; HOOS sport, 32.5 ± 27.0, 36.5 ± 26.9; HOOS quality of life, 37.9 ± 26.7, 46.0 ± 22.8, and 12-item Short-Form survey physical component score, 16.4 ± 15.3, 20.8 ±13.2, respectively. Overall, they suggested periportal capsulotomy with safe and sufficient path to the hip joint for arthroscopic treatment of FAI without necessitating capsular closure.
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