Editorial Commentary: Hip Arthroscopic Capsular Management With Interportal Capsulotomy Versus T-Type Ultimately Depends on Surgeon Preference and Distal Visualization Necessity.

Capsular management is an important technical component during hip arthroscopy to effectively treat femoroacetabular impingement syndrome. Capsulotomy both provides visualization and assists with instrument and implant placement. Traditional capsulotomy methods include both interportal capsulotomy (IP) and T-type. Studies have, however, shown unrepaired capsulotomies or capsular healing defects can be a source of hip pain and instability. The biomechanical and clinical literature support both capsulotomy types if adequate repair is performed, with very few differences in outcomes between the 2 methods. Certain cases may allow for a more limited interportal capsulotomy approach, whereas the T-type may be more effective in cases where more severe femoral neck pathology is present.