Minimally Invasive Hip Arthroscopy for Femoroacetabular Impingement Using Iliofemoral Ligament-Preserving Skip Capsulotomy for Cam Resection.

ABSTRACT: Interportal capsulotomy is the standard approach for treating femoroacetabular impingement during hip arthroscopy. However, this method carries a substantial risk of injuring the iliofemoral ligament, which may result in joint instability and persistent pain. We describe a modified "skip capsulotomy" technique, which preserves iliofemoral ligament integrity while enabling adequate access for cam resection. This technique employs a small longitudinal capsulotomy (∼5 mm) aligned with the mid-anterior portal and a short transverse incision (∼1.5-2 cm) extending posteriorly from the anterolateral portal, without connecting the 2 portals. The iliofemoral ligament is preserved by avoiding an interportal incision. This minimally invasive approach allows sufficient visualization and instrument man

SUBMITTER: Saito M 

PROVIDER: S-EPMC12541764 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature