12:45

Deep closure of posterior approach to hip

Orthoracle Forums Hip Deep closure of posterior approach to hip

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  • #152358
    Avatarsamiullahbajwa
    Participant

    I want to hear from people about their technique of repairing the posterior capsule and external rotators. I use 2mm drill holes in greater trochanter and use already applied No 2 Ethibond to repair over first the capsule and than the external rotators while the limb is neutral

    #156272
    AvatarAndrew Gordon
    Participant

    Thank you.

    Sorry for my late response. I think there are a few camps here! The drill hole closure technique is widely used with success and personally I agree that a 2 layer closure is better. I close the capsule and then the ER. The only note of caution with Ethibond is that is can form a massive knot that does not resorb. I have had a handful of patients referred with intractable trochanteric pain secondary to large knots and subsequent granulomas.

    For my primaries, I tend to keep a small cuff of capsule next to the bone during my approach and close using this. It is a bit more fiddly and certainly is a lot more difficult to teach.

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