Editorial Commentary: Capsular Management in Arthroscopic Hip Surgery-What if Disruption of the Iliofemoral Ligament Is Optional?

Abstract

Postoperative iatrogenic hip instability is an increasingly recognized complication of arthroscopic hip surgery. Numerous publications have reported on the biomechanical importance of capsular preservation, as well as the clinical importance of proper capsular management. The majority of studies published in the literature report on the clinical benefits of capsular repair in order to best preserve native anatomy, but other strategies directed at minimizing capsular disruption are critical, given that capsular repair is technically challenging early in the learning curve, and even a well-repaired capsule can fail to heal or retear in the early postoperative period.