What is capsular plication and how does it work?
Biomechanically, a capsular plication aims to create an imbrication and inferior shift of the capsule to augment the screw-home mechanism of the capsuloligamentous structures and thereby improve stability in extension and external rotation.
What is capsular plication of the hip?
The aim of a capsular plication is to create an imbrication and inferior shift in the capsule that augment the screw-home mechanism of the hip by accentuating the spiral orientation of the capsular fibers. This increases the degree to which the capsule tightens in extension.
What is the role of Arthroscopic Capsular plication in the treatment of osteoarthritis?
Arthroscopically, the joint may distract easily, and there may be associated ligamentum teres tears and laxity of the capsule on manual probing. The use of arthroscopic capsular plication in this cohort of patients has shown good to excellent results.
Is there an alternative to suture plication for Arthroscopic Capsular tightening?
Thermal capsulorrhaphy is another alternative to suture plication for arthroscopic capsular tightening. Philippon The role of arthroscopic thermal capsulorrhaphy in the hip. New frontiers in hip arthroscopy: The role of arthroscopic hip labral repair and capsulorrhaphy in the treatment of hip disorders.
How are the limbs retrieved during capsular plication in arthroscopy?
One of the limbs is retrieved through one of the anterior portals so that both limbs exit through the same portal to facilitate arthroscopic knot tying. Fig 2 Steps involved in creating capsular plication by imbrication and shifting of capsule inferiorly.
Can a capsular plication be done without a Bankart repair?
Capsular Plication. This can happen in association with a Bankart lesion , or without one (as in Atraumatic Instability or ‘loose shoulder’). In these circumstances an Arthroscopic Capsular Plication may be performed by the surgeon, with or without a Bankart repair (depending on the presence of a Bankart Lesion).
Can capsular plication improve the stability of the hip?
The capsular plication technique that we have described aims to improve the stability of the hip by accentuating the screw-home mechanism of the capsuloligamentous structures. The senior author (B.G.D.) has previously published on the outcomes of this technique in patients with an LCEA between 18° and 25°.