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Capsular Reconstruction of the Hip Using Modified Kite Technique: A Technical Guide for Efficient Graft Management and Fixation

Preserving capsular integrity has become an important principle of hip preservation surgery given the increasingly recognized deleterious effects of instability in cases of capsular insufficiency. When capsular tissue is deficient, capsular reconstruction may be indicated to restore function of the...

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Detalles Bibliográficos
Autores principales: Scheidt, Michael, Bhatia, Sanjeev, Fenoglio, Zach, Ellman, Michael B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7823145/
https://www.ncbi.nlm.nih.gov/pubmed/33532230
http://dx.doi.org/10.1016/j.eats.2020.09.031
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author Scheidt, Michael
Bhatia, Sanjeev
Fenoglio, Zach
Ellman, Michael B.
author_facet Scheidt, Michael
Bhatia, Sanjeev
Fenoglio, Zach
Ellman, Michael B.
author_sort Scheidt, Michael
collection PubMed
description Preserving capsular integrity has become an important principle of hip preservation surgery given the increasingly recognized deleterious effects of instability in cases of capsular insufficiency. When capsular tissue is deficient, capsular reconstruction may be indicated to restore function of the iliofemoral ligament and improve hip biomechanics. To date, few studies have presented technical guidance on performing arthroscopic capsular reconstruction of the hip. In this Technical Note, we introduce a modified kite technique for arthroscopic entry, control, and fixation of a capsular reconstruction graft. Similar to flying a kite with multiple fly lines, and to the previously described kite technique for hip labral reconstruction, the principles of this method are founded on the belief that control sutures within a pulley system facilitate safe and efficient graft management during capsular reconstruction procedures.
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spelling pubmed-78231452021-02-01 Capsular Reconstruction of the Hip Using Modified Kite Technique: A Technical Guide for Efficient Graft Management and Fixation Scheidt, Michael Bhatia, Sanjeev Fenoglio, Zach Ellman, Michael B. Arthrosc Tech Technical Note Preserving capsular integrity has become an important principle of hip preservation surgery given the increasingly recognized deleterious effects of instability in cases of capsular insufficiency. When capsular tissue is deficient, capsular reconstruction may be indicated to restore function of the iliofemoral ligament and improve hip biomechanics. To date, few studies have presented technical guidance on performing arthroscopic capsular reconstruction of the hip. In this Technical Note, we introduce a modified kite technique for arthroscopic entry, control, and fixation of a capsular reconstruction graft. Similar to flying a kite with multiple fly lines, and to the previously described kite technique for hip labral reconstruction, the principles of this method are founded on the belief that control sutures within a pulley system facilitate safe and efficient graft management during capsular reconstruction procedures. Elsevier 2021-01-20 /pmc/articles/PMC7823145/ /pubmed/33532230 http://dx.doi.org/10.1016/j.eats.2020.09.031 Text en © 2020 by the Arthroscopy Association of North America. Published by Elsevier. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Scheidt, Michael
Bhatia, Sanjeev
Fenoglio, Zach
Ellman, Michael B.
Capsular Reconstruction of the Hip Using Modified Kite Technique: A Technical Guide for Efficient Graft Management and Fixation
title Capsular Reconstruction of the Hip Using Modified Kite Technique: A Technical Guide for Efficient Graft Management and Fixation
title_full Capsular Reconstruction of the Hip Using Modified Kite Technique: A Technical Guide for Efficient Graft Management and Fixation
title_fullStr Capsular Reconstruction of the Hip Using Modified Kite Technique: A Technical Guide for Efficient Graft Management and Fixation
title_full_unstemmed Capsular Reconstruction of the Hip Using Modified Kite Technique: A Technical Guide for Efficient Graft Management and Fixation
title_short Capsular Reconstruction of the Hip Using Modified Kite Technique: A Technical Guide for Efficient Graft Management and Fixation
title_sort capsular reconstruction of the hip using modified kite technique: a technical guide for efficient graft management and fixation
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7823145/
https://www.ncbi.nlm.nih.gov/pubmed/33532230
http://dx.doi.org/10.1016/j.eats.2020.09.031
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