Arthroscopic T-Capsulotomy With Capsular Traction and Double-Pulley Circumferential Reinforcement for Femoroacetabular Impingement: A Biomechanically Optimized Closure Technique.

ABSTRACT: Hip arthroscopy has grown significantly in the past decade owing to its favorable outcomes in treating femoroacetabular impingement. Capsular management is crucial for success, with the T-capsulotomy being a preferred technique for enhanced visualization. However, its closure leaves a crossover region defect, potentially compromising iliofemoral ligament integrity and increasing instability risk. To address this, we describe a technique that optimizes intraoperative visualization while enabling circumferential capsular reinforcement, improving closure stability.

SUBMITTER: Meng X 

PROVIDER: S-EPMC12541763 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature