John J. Heifner M.D. , Leah M. Keller D.O. , Gagan Grewal M.D. , Ty A. Davis D.O. , Jonathan Brutti B.S. , Jan Pieter Hommen M.D.
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The GRADE framework evaluated study quality, and ROBINS-I evaluated the risk of bias.</p></div><div><h3>Results</h3><p>Across 18 studies (N = 3277) an interportal capsulotomy was reported in 12 studies (1972/3277) cases, and a T-type capsulotomy was reported in six studies (1305/3277) cases). Six studies reported using #2 suture. Nonabsorbable suture was reported in six studies, and absorbable suture in six studies. The rate of failure was 10.5% across five studies (N = 1133) and the rate of revision was 4.4% across 13 studies (N = 2957).</p></div><div><h3>Conclusions</h3><p>Capsule closure is commonly performed with #2 high strength suture—the T-type using two to three sutures in the vertical limb and two to three in the transverse limb, and the interportal type using two to three sutures. Compared to earlier reports, there is a trend for increased utilization of T-type capsulotomy. Although there is a growing body of investigations into the efficacy of routine capsule closure following hip arthroscopy, our results demonstrate infrequent and inconsistent reporting of capsule closure characteristics.</p></div><div><h3>Level of Evidence</h3><p>Level IV, systematic review of Level I-IV studies.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X23001712/pdfft?md5=0a49ea839ee5ddaf9ff51f3e249201fa&pid=1-s2.0-S2666061X23001712-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Characterizations of Capsule Closure in Hip Arthroscopy Are Infrequently and Incompletely Reported: A Systematic Review\",\"authors\":\"John J. Heifner M.D. , Leah M. Keller D.O. , Gagan Grewal M.D. , Ty A. Davis D.O. , Jonathan Brutti B.S. , Jan Pieter Hommen M.D.\",\"doi\":\"10.1016/j.asmr.2023.100820\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>To review the recent literature to provide an updated characterization of capsule closure techniques in hip arthroscopy and to determine if the characteristics of closure impacted clinical outcomes.</p></div><div><h3>Methods</h3><p>In keeping with the Preferred Reporting in Systematic Reviews and Meta Analyses (PRISMA) guidelines, a systematic review was performed with the following eligibility criteria: patients over 18 years of age who underwent primary hip arthroscopy with reporting of patient reported outcome measures or revision/failure, and a sufficiently detailed description of capsule closure. The GRADE framework evaluated study quality, and ROBINS-I evaluated the risk of bias.</p></div><div><h3>Results</h3><p>Across 18 studies (N = 3277) an interportal capsulotomy was reported in 12 studies (1972/3277) cases, and a T-type capsulotomy was reported in six studies (1305/3277) cases). Six studies reported using #2 suture. Nonabsorbable suture was reported in six studies, and absorbable suture in six studies. The rate of failure was 10.5% across five studies (N = 1133) and the rate of revision was 4.4% across 13 studies (N = 2957).</p></div><div><h3>Conclusions</h3><p>Capsule closure is commonly performed with #2 high strength suture—the T-type using two to three sutures in the vertical limb and two to three in the transverse limb, and the interportal type using two to three sutures. Compared to earlier reports, there is a trend for increased utilization of T-type capsulotomy. 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引用次数: 0
摘要
目的回顾近期文献,提供髋关节镜手术中胶囊闭合技术的最新特征,并确定闭合的特征是否会影响临床结果。方法根据《系统性综述和元分析中的首选报告》(Preferred Reporting in Systematic Reviews and Meta Analyses,PRISMA)指南,进行了一项系统性综述,其资格标准如下:18 岁以上接受初级髋关节镜手术的患者,报告患者报告的结果指标或翻修/失败情况,并对胶囊闭合进行了足够详细的描述。GRADE框架评估了研究质量,ROBINS-I评估了偏倚风险。结果18项研究(N = 3277)中有12项研究(1972/3277)报道了门间囊切开术,6项研究(1305/3277)报道了T型囊切开术。)六项研究报告使用了 2 号缝合线。六项研究报告使用了不可吸收缝线,六项研究报告使用了可吸收缝线。5项研究(N = 1133)的失败率为10.5%,13项研究(N = 2957)的翻修率为4.4%。结论囊腔闭合通常使用2号高强度缝合线,T型缝合线在垂直肢使用两到三针,在横向肢使用两到三针,门间缝合线使用两到三针。与之前的报告相比,T 型囊肿切除术的使用率有上升趋势。尽管对髋关节镜手术后常规囊袋闭合疗效的研究越来越多,但我们的研究结果表明,囊袋闭合特点的报告并不频繁且不一致。
Characterizations of Capsule Closure in Hip Arthroscopy Are Infrequently and Incompletely Reported: A Systematic Review
Purpose
To review the recent literature to provide an updated characterization of capsule closure techniques in hip arthroscopy and to determine if the characteristics of closure impacted clinical outcomes.
Methods
In keeping with the Preferred Reporting in Systematic Reviews and Meta Analyses (PRISMA) guidelines, a systematic review was performed with the following eligibility criteria: patients over 18 years of age who underwent primary hip arthroscopy with reporting of patient reported outcome measures or revision/failure, and a sufficiently detailed description of capsule closure. The GRADE framework evaluated study quality, and ROBINS-I evaluated the risk of bias.
Results
Across 18 studies (N = 3277) an interportal capsulotomy was reported in 12 studies (1972/3277) cases, and a T-type capsulotomy was reported in six studies (1305/3277) cases). Six studies reported using #2 suture. Nonabsorbable suture was reported in six studies, and absorbable suture in six studies. The rate of failure was 10.5% across five studies (N = 1133) and the rate of revision was 4.4% across 13 studies (N = 2957).
Conclusions
Capsule closure is commonly performed with #2 high strength suture—the T-type using two to three sutures in the vertical limb and two to three in the transverse limb, and the interportal type using two to three sutures. Compared to earlier reports, there is a trend for increased utilization of T-type capsulotomy. Although there is a growing body of investigations into the efficacy of routine capsule closure following hip arthroscopy, our results demonstrate infrequent and inconsistent reporting of capsule closure characteristics.
Level of Evidence
Level IV, systematic review of Level I-IV studies.