FP5.1 Comparable Survivorship and Clinically Significant Outcome Achievement is Observed with Both Interportal and T-Type Capsulotomy in Contemporary Hip Arthroscopy: A Propensity-Score Matched Analysis

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ID: 331190
2026
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Abstract
Abstract ICLB05 - The Art of Navigation: Foundations of Efficient and Complication-Free Hip Arthroscopy, Session Room 6 (BMCC Level 3), October 8, 2026, 14:00 - 16:00 Background Interportal and T-type are the most common capsulotomy techniques in contemporary hip arthroscopy. Given the critical role of the hip capsule in maintaining joint stability, the extent and configuration of capsulotomy may have meaningful implications for postoperative outcomes. However, investigations directly comparing clinical outcomes of capsulotomy types in a contemporary study population is lacking. Methods Patients who underwent hip arthroscopy between October 2020 and November 2022 with ≥2-year follow-up were included. Interportal capsulotomy patients were propensity-score matched to T-capsulotomy patients by age, sex, and body mass index. All patients underwent capsular closure. Patient reported outcomes (PROs) included Hip Outcome Score (HOS) Activities of Daily Living (HOS-ADL), HOS Sports Specific Subscale (HOS-SSS), 12-item international Hip Outcome Tool (iHOT-12), and Patient Reported Outcomes Measurement Information System-Pain Interference (PROMIS-PI), and PROMIS-Physical Function (PROMIS-PF). Achievement of minimal clinically important difference (MCID), patient acceptable symptom state (PASS), substantial clinical benefit (SCB) and reoperation rates were compared. Results Fifty-two interportal patients were matched 1:4 to 206 T-capsulotomy patients (age=32.7±13.8, female sex=85.3%). The mean preoperative alpha angles were not significantly different between groups (interportal 54.1±9.6, T-type 56.5±9.2, P =.43). Preoperatively, the interportal group exhibited a higher mean PROMIS-PI (63.1±5.4 vs. 61.0±6.2, P =.02), but similar HOS-ADL, HOS-SSS, and iHOT-12 (P≥.24). Postoperatively, there was no significant difference in alpha angles between the cohorts (interportal 40.7±3.3, T-type 40.9±4.2, P=.38). There was also no significant differences in any postoperative PROs (P≥.10). The interportal group exhibited a larger decrease in PROMIS-PI (-15.8 vs. -11.8; P=.03), but no other significant differences were found of all other PROs (P≥.11). There were no differences in rates of achieving MCID (93.5% vs. 92.8%, P>.99), PASS (88.2% vs. 83.0%, P=.52), or SCB (78.4% vs. 77.5%, P>0.99) between the cohorts for any PRO. The two cohorts demonstrated similar reoperation-free survivorship (98% vs. 98%) (P=.81). Conclusions Performing interportal and T-capsulotomy results in comparable patient-reported outcomes, rates of clinically meaningful improvement, and reoperation-free survivorship at minimum two years of follow-up. These findings suggest that when combined with appropriate capsular closure, either capsulotomy technique is sufficient for a comprehensive femoroplasty without compromising clinical outcomes following hip arthroscopy.
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Authors
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.033
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