Arthroscopic T-Capsulotomy With Capsular Traction and Double-Pulley Circumferential Reinforcement for Femoroacetabular Impingement: A Biomechanically Optimized Closure Technique.

Abstract

Hip arthroscopy has grown significantly in the past decade owing to its favorable outcomes in treating femoroacetabular impingement. Capsular management is crucial for success, with the T-capsulotomy being a preferred technique for enhanced visualization. However, its closure leaves a crossover region defect, potentially compromising iliofemoral ligament integrity and increasing instability risk. To address this, we describe a technique that optimizes intraoperative visualization while enabling circumferential capsular reinforcement, improving closure stability.