Editorial Commentary: Hip Arthroscopy and the Capsule: Why Repair Remains Central to My Approach.

Abstract

Routine capsular closure during hip arthroscopy remains a cornerstone of my surgical approach. In my experience, restoring the capsule enhances joint stability, maintains the suction seal, and reduces long-term risk of microinstability, particularly in active or high-risk patients. Although some advocate for selective repair, I believe the downsides of routine closure are minimal and the benefits long-lasting. Until long-term evidence proves otherwise, restoring capsular integrity is essential to joint preservation.