Editorial Commentary: Periportal Capsulotomies Create Significant Axial Distraction in Hip Arthroscopy and Should be Repaired in Certain Hip Phenotypes.

Abstract

Strategies to minimize damage to the iliofemoral ligament in hip arthroscopy for the treatment of femoroacetabular impingement syndrome have spawned increased curiosity among sports surgeons. Gone are the days when a large T-type capsulotomy or even capsulectomy is performed without some closure. Consensus to repair interportal capsulotomies seems strong. Under scrutiny now is whether the same rules apply to smaller periportal capsulotomies. If we continue to abide by our principles to respect anatomy and restore biomechanical properties, then capsular preservation should be upheld, especially in patients who need it the most.