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A decision tree was constructed (complete capsule closure vs incomplete closure) and a meta\u2010analysis was conducted using the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses framework, a systematic review was conducted to determine outcome probabilities. The protocol for this systematic review and meta\u2010analysis was registered with PROSPERO (ID CRD42023458012). Sixty\u2010five patients with hip pain were evaluated for demographics, hip activity level, and surgical outcome preferences. Statistical fold\u2010back analysis was calculated to determine the optimal treatment strategy. One\u2010way sensitivity analysis evaluated the impact of varying outcome likelihoods in decision making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fold\u2010back analysis showed the expected value for hip capsule complete closure was 8.60; the expected value for incomplete closure was 8.06. One\u2010way sensitivity analysis of moderate complication showed that incomplete closure is favored when moderate complication probability after hip arthroscopy exceeds 16%. A meta\u2010analysis of 17 studies and 3,191 hips revealed the probability of a well outcome was greater for complete capsule closure 90.3% (95% confidence interval 88.9%\u201092.0%) compared with capsule incomplete closure 83.2% (95% confidence interval 80.9%\u201085.3%) (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .000001). Fifty of sixty\u2010five surveyed participants (mean age = 42.9 years, standard deviation 11.9; female = 66%) met inclusion criteria.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The current meta\u2010analysis and expected\u2010value decision analysis showed hip capsule complete closure as the superior capsular management technique on the basis of greater expected value than incomplete capsular closure. This study revealed increased proportion of well outcomes with decreased rates of moderate (requiring revision hip arthroscopy) and major (requiring early conversion to total hip arthroplasty) complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, meta\u2010analysis of Level I\u2010III studies with high heterogeneity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2024.11.080","type":"journal-article","created":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T12:08:16Z","timestamp":1733746096000},"page":"2551","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":17,"title":["Routine Capsular Closure Outperforms Incomplete Capsular Closure After Hip Arthroscopy: A Meta\u2010analysis and Expected\u2010Value Decision Analysis"],"prefix":"10.1002","volume":"41","author":[{"given":"McLeod K.","family":"Phillips","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Morristown Medical Center Morristown New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor","family":"Abouhaif","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine Winston\u2010Salem North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy L.","family":"Waters","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Medical College of Georgia Augusta Georgia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garrett","family":"Bullock","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Rehabilitation Wake Forest University School of Medicine Winston\u2010Salem North Carolina U.S.A."},{"name":"Centre for Sport Exercise and Osteoarthritis Research Versus Arthritis University of Oxford United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Recker","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Rehabilitation Wake Forest University School of Medicine Winston\u2010Salem North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony P.","family":"Fiegen","sequence":"additional","affiliation":[{"name":"Orthopedic Institute Sioux Falls South Dakota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas A.","family":"Trasolini","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Rehabilitation Wake Forest University School of Medicine Winston\u2010Salem North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allston J.","family":"Stubbs","sequence":"additional","affiliation":[{"name":"Department of 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