SpeedPearl: Tensioning the LoopLoc™ Knotless Implant During Hip Capsular Closure @WhatsNewinOrthopedics
SpeedPearl: Tensioning the LoopLoc™ Knotless Implant During Hip Capsular Closure  @WhatsNewinOrthopedics
Uploaded June 2025 | Updated September 2026, 1 week ago
In this SpeedPearl surgical tip, we demonstrate a simple yet effective solution for tensioning the LoopLoc™ knotless implant during hip capsular closure. This is a common step in modern hip arthroscopy techniques where friction can limit smooth suture advancement and efficiency.
The LoopLoc™ knotless implant is designed to provide a low‑profile, high‑strength hip capsular closure following capsulotomy, helping eliminate knot stacks and reduce variability associated with traditional knotted sutures. However, surgeons may occasionally encounter resistance or friction while tensioning the device, particularly during final capsular approximation.

This video highlights a practical pearl to address that challenge. By placing a suture retriever through both sides of the LoopLoc™ loop, friction is reduced by allowing the suture limbs to glide smoothly over the retriever’s tines rather than against each other. This small adjustment can significantly improve control and consistency during hip capsular closure, especially in tight working spaces.

An additional efficiency tip shown in this video is simultaneous tensioning of both suture limbs. Rather than alternating sides, tensioning both limbs at the same time allows the LoopLoc™ construct to cinch down in a single, controlled motion. This not only saves time but also promotes even load distribution across the capsular tissue.

Key takeaways from this SpeedPearl include:
How to reduce friction during LoopLoc™ tensioning
Improving workflow during knotless hip capsule repair
Achieving a smooth, one‑shot tensioning technique
Maintaining a low‑profile capsular closure with consistent strength

This pearl is especially useful for surgeons performing routine hip arthroscopy, where reliable capsular closure plays a critical role in postoperative stability and patient outcomes.

💬 If you found this SpeedPearl helpful, like, subscribe, and comment below with your favorite tips for hip capsular closure or knotless implant techniques. More concise surgical pearls and hip arthroscopy education content are added regularly.

👇 Helpful Arthrex Reference Links:
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arthrex.com/resources/VID1-005847-en-US/my-experience-using-looploc-knotless-implants?objectID=human.resource.en.d3be1540-7aca-4f8b-8661-39d172194950.1&queryID=6ed47afc14a5e0810321a183476ecc12

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SpeedPearl: Tensioning the LoopLoc™ Knotless Implant During Hip Capsular Closure

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