The Quebec City Slider: A Technique for Capsular Closure and
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Biomechanical and clinical studies have shown that the hip joint capsule plays an important role in maintaining stability and hip mechanics, including rotation and translation. The recent literature has shown that capsule closure after hip arthroscopy helps to restore stability. Without restoration of the native anatomy, the hip joint may translate when patients engage in activities that place force across the hip, leading to either microinstability or frank dislocation. The purpose of this note is to describe our preferred technique of capsular closure or plication during hip arthroscopy.

During hip arthroscopy, adequate intra-articular access and visualization are of utmost importance. Because of this, many authors have suggested the use of a limited arthrotomy or capsulotomy improve the surgical technique and efficiency. Capsulotomy without closure has been performed for many years; however, negative results of microinstability, hip dislocation episodes, or complete capsular deficiency have been reported in a subset of patients. Because of these complications, there has been a recent interest in the use of capsular closure or plication after hip arthroscopy.6 This has led to an increased understanding of the interplay between the hip capsule and other static and dynamic restraints of the hip, and their respective roles in hip stability.

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