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Conceptual evolution in arthroscopic capsulotomy techniques and capsular management strategies for the hip
Chu-Jie Liu, Can-Cai Jiang, Tie-Zhu Chen, Department of Osteoarthritis and Sports Medicine, Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal Uni
Yin-Hao He, Department of Osteoarthritis and Sports Medicine, The First Affiliated Hospital of Hunan Medical College, Huaihua 418000, Hunan Province, China
Qiang Peng, Department of Orthopedics, Joints, and Sports Medicine, The Central Hospital of Shaoyang, Shaoyang 422000, Hunan Province, China
Author contributions: Liu CJ and Chen TZ conceived and designed the study; Liu CJ, He YH, Peng Q, and Jiang CC performed the literature search and data extraction; Liu CJ drafted the manuscript; He YH, Peng Q, and Jiang CC revised the manuscript critically for important intellectual content; Chen TZ supervised the study and gave final approval. All authors have read and approved the final version.
AI contribution statement: The authors declare that DeepSeek-V3 was used solely for language polishing. All authors have verified all AI-assisted content and accept full responsibility for the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Tie-Zhu Chen, Associate Professor, Department of Osteoarthritis and Sports Medicine, Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University), No. 61 Jiefang West Road, Furong District, Changsha 410005, Hunan Province, China. ctzmz11@163.com
Received: July 7, 2026
Revised: September 13, 2026
Accepted: October 28, 2026
Published online: November 18, 2026
Processing time: 126 Days and 11.9 Hours
Revised: September 13, 2026
Accepted: October 28, 2026
Published online: November 18, 2026
Processing time: 126 Days and 11.9 Hours
Core Tip
Core Tip: This narrative review summarizes the development of hip arthroscopic capsulotomy from inside-out techniques to outside-in techniques. It describes the progression from maximizing exposure to preserving capsular function. And it also discusses the evidence on capsular closure, current challenges, and future directions.