Editorial Commentary: The Hip Capsule Is No Longer a Problem to Overcome, It Is Part of the Solution.

Abstract

Hip capsular management is still controversial. Improvements in patient-reported outcomes have been reported with repair of an interportal capsulotomy, which is used for hip access. In addition, a lower rate of conversion to hip replacement after capsular closure has been reported. Central compartment-first arthroscopy violates the capsule at the start of the procedure, so a capsular procedure is being performed at the start of any hip arthroscopy. Even in the absence of hyperlaxity or mild dysplasia, capsular repair should be considered to optimize patient outcomes.