Arthroscopic Anchor-Based Hip Capsular Reconstruction Without Graft Augmentation

The hip capsule is one of the most important static stabilizers of the hip joint. Routine capsulotomy without closure during hip arthroscopy increases instability of the hip joint, leading to pain and dysfunction. Capsular repair is now part of routine practice for most hip arthroscopists with restoration of normal hip biomechanics. In patients requiring revision surgery due to ongoing pain and instability as a result of deficient capsule, capsular reconstruction often is necessary to restore hip stability. Although there are many techniques available both with and without the use of allograft tissue, the purpose of this report is to describe a novel technique for capsular reconstruction without the use of graft augmentation using suture anchors at the acetabular rim.