Published online Apr 18, 2022. doi: 10.5312/wjo.v13.i4.400
Peer-review started: August 10, 2021
First decision: November 17, 2021
Revised: December 2, 2021
Accepted: March 7, 2022
Article in press: March 7, 2022
Published online: April 18, 2022
Processing time: 244 Days and 17.5 Hours
Capsular management after hip arthroscopy remains topic of debate after an interportal capsulotomy
More studies are needed to determine what the effect is of capsular repair on capsular healing after hip arthroscopy.
To determine whether capsular repair or not may result in a capsular defect measured on an MRI scan. Secondary objective is to determine of the presence of a capsular defect might influence the clinical outcome after hip arthroscopy.
A random sample of patients were enrolled in this case series. All were operated and had a magnetic resonance imaging (MRI) scan in the postoperative phase. Patients were part of an earlier performed randomized trial and were randomized into a capsular repair or unrepaired capsulotomy group. Outcome was the presence of a capsular defect on MRI and the Copenhagen Hip and Groin Outcome Score (HAGOS).
A total of 29 hips were included. There was no significant different number of capsular defects between the capsular repair or unrepaired capsulotomy groups. There was also no difference in outcome measured with HAGOS outcome score between the capsular defect or capsule intact group.
There was no difference in the number of capsular defects between the capsular repair or unrepaired capsulotomy group.
Future larger studies are needed to confirm that capsular repair or unrepaired capsulotomy has no influence on the presence of a capsular defect or not. In addition; long term analysis needs to be done to determine whether the presence of a capsular defect might result in long term complications or influence outcome.