Table 1.

Advantages and Disadvantages for Open Anterior Capsule Reconstruction of the Hip Using an Achilles Tendon Allograft

Advantages

Disadvantages

1.Open approach allows for accurate and full exposure of the docking sites for the allograft. 2.Open approach allows for augmentation with a capsular plication. 3.Open approach allows to insert a large and robust graft acting as an internal brace for the hip. 4.An open approach is not subject to traction time as seen in an arthroscopic approach. 5.Allograft technique decreases the recurrence rate in the background of connective tissue disorders. 6.Using an Achilles tendon allograft with the calcaneal tuberosity as the bone plug allows for bone to bone healing.

1.Surgical expertise required in open surgery, specifically facile in the direct anterior approach. 2.Increased risk to local structures, including nerves, arteries, and cartilage. 3.Allograft use is of greater cost than autograft. 4.Increase risk of infection with and open approach. 5.Without the arthroscope, a full diagnostic evaluation of the intraarticular compartments of the hip is difficult.