Complete Capsular Repair May Provide Better Outcomes for FAI Patients

    When a patient with femoracetabular impingement undergoes hip arthroscopy with T-capsulotomy, is partial repair of the hip capsule adequate, or should the surgeon perform complete capsular repair?

    A study from Rush University Medical Center suggests that although both options allow for functional improvements, complete capsular repair may have the edge: It resulted in greater satisfaction, less need for revision, and superior sports-specific outcomes compared with partial capsular repair.

    The study, presented at the recent annual meeting of the Mid-America Orthopaedic Association, followed patients for 2.5 years after the procedure. Longer-term follow-up will be needed to determine if these results will hold true over time, the authors said.

    We asked Rachel M. Frank, MD, the study’s lead author, to provide insights into what this research means for clinical practice. Click the image above to hear her comments.

    Producer and Director: Michael Bugera; Post Production: Charles Maynard.


    Frank RM, Lee S, Bush-Joseph CA, Kelly B, Salata MJ, Nho SJ. Does Complete Capsular Repair Improve Outcomes After Hip Arthroscopy Compared to Partial Repair? (Paper 075). Presented at the Mid-America Orthopaedic Association Annual Meeting, April 22-25, 2015, Hilton Head Island, South Carolina.

    Frank RM,Lee S ,Bush-Joseph CA ,Kelly BTCA ,Salata MJ ,Nho SJ . Improved outcomes after hip arthroscopic surgery in patients undergoing T-capsulotomy with complete repair versus partial repair for femoroacetabular impingement: a comparative matched-pair analysis. Am J Sports Med 2014 Nov;42(11):2634-42.