In which scenario do most surgeons agree that capsular closure should be performed during hip arthroscopy?

Most surgeons advocate for capsular closure following a T capsulotomy because this type of incision is specifically designed to expose structures within the hip joint while maintaining the integrity of the surrounding capsule to the extent possible. When a T capsulotomy is performed, the surgical approach requires careful attention to the capsule, as this can help prevent complications such as joint instability or post-operative adhesions. Closure of the capsule helps to restore its normal anatomy and functioning, which is crucial for optimal joint recovery and minimizing the risk of long-term issues.

In certain other scenarios, such as significant capsular damage, the decision to close may depend on the extent of the damage and the surgeon's judgment. Similarly, during routine examinations or for all arthroscopic procedures, capsular closure is not universally required and may not be deemed necessary, as the specific indications depend on the nature of the surgery and the findings during the procedure. Thus, the rationale for closure specifically after a T capsulotomy is rooted in maintaining joint stability and promoting appropriate healing, which is considered essential to the success of the surgery.