Table 1.

Key Points of Arthroscopic Capsular Repair

Capsular repair is performed with the leg in an extended position with neutral rotation. The descending limb of the T-capsulotomy is repaired first, followed by the interportal portion. Visualization is created above the capsular layer using a shaver and/or an ArthroCare wand. A Crescent SutureLasso is used to pass a suture through the medial or distal limb of the capsulotomy. A spinal needle is used to percutaneously pass a nitinol wire loop through the lateral or proximal limb of the capsulotomy. This is used to shuttle the suture through the capsule. Both ends of the suture are brought out of the hip joint through a cannula to prevent possible formation of a soft-tissue bridge. Alternating half-hitches or an arthroscopic knot can be used to tie the suture. Two to 4 stitches are placed in the descending limb of the capsulotomy and another 2 to 4 stitches in the interportal portion.