Arthroscopic Double Shoelace Capsular Plication Technique for the Treatment of Borderline Hip Dysplasia Associated With Capsular Laxity

Kazuha Kizaki; Akihisa Hatakeyama; Hajime Utsunomiya; Marc J Philippon; Soshi Uchida

doi:10.1016/j.eats.2019.04.008

Arthroscopic Double Shoelace Capsular Plication Technique for the Treatment of Borderline Hip Dysplasia Associated With Capsular Laxity

Arthrosc Tech. 2019 Jul 30;8(8):e923-e927. doi: 10.1016/j.eats.2019.04.008. eCollection 2019 Aug.

Authors

Kazuha Kizaki¹, Akihisa Hatakeyama¹, Hajime Utsunomiya^{1

2}, Marc J Philippon², Soshi Uchida¹

Affiliations

¹ Wakamatsu Hospital for the University of Occupational and Environmental Health, Kitakyushu, Japan.
² Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

Abstract

Hip arthroscopy is an innovative surgical tool that is minimally invasive; however, the working space is very limited because of small surgical wounds. Recent literature has shown that capsular repair after capsulotomy during hip arthroscopy facilitates the restoration of hip joint stability. Previous Technical Notes have introduced the shoelace capsule closing technique using a single Ultratape. However, even with the shoelace capsule closing technique, we periodically have encountered difficult cases with extensive capsular laxity. In this Technical Note, we introduce an improved hip capsule plication technique using 2 pieces of Ultratape for treating borderline hip dysplasia with capsular laxity. This double shoelace capsule plication technique theoretically reduces tearing risks during closure of delicate and fragile capsules. Level of evidence: 1 (hip); 2 (other).