Top Ten Pearls for Successful Hip Arthroscopy for Femoroacetabular Impingement

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2021 Aug 17

PMID 34401251

Citations 6

Authors

Allison K Perry

Steven F DeFroda

Safa Gursoy

Iain R Murray

Amar S Vadhera

Shane J Nho

Jorge Chahla

Affiliations

Soon will be listed here.

Abstract

Hip arthroscopy is an increasingly popular procedure used to treat femoroacetabular impingement. However, the procedure is technically challenging with a steep learning curve. To prevent complications and to optimize patient outcomes, proper patient positioning, correct portal placement, and adequate capsular closure are necessary. For central compartment procedures, creation of a minimal interportal capsulotomy, placement of traction stitches, adequate rim trimming, and balanced labral repair are recommended. For peripheral compartment procedures, adequate osteochondroplasty should be performed and assessed intraoperatively. The purpose of this technical note is to describe the senior author's top 10 pearls for a successful hip arthroscopy procedure to treat femoroacetabular impingement.

Citing Articles

Identifying Hip Arthroscopy Trends in Turkey.

Cirdi Y, Bingol I, Kamaci S, Bayram S, Ata N, Ulgu M Orthop J Sports Med. 2024; 12(12):23259671241293741.

PMID: 39669713 PMC: 11635892. DOI: 10.1177/23259671241293741.

The Physics of Postless Hip Arthroscopy.

Wininger A, Kraeutler M, Goble H, Cho J, Mei-Dan O, Harris J Arthrosc Tech. 2024; 13(10):103077.

PMID: 39479047 PMC: 11519879. DOI: 10.1016/j.eats.2024.103077.

How to start with hip arthroscopy in a safe and effective manner, using an evidence-based approach.

Follet L, Khanduja V, Thevendran G, Ayeni O, Shanmugasundaram S, Abd El-Radi M SICOT J. 2024; 10:35.

PMID: 39303141 PMC: 11415036. DOI: 10.1051/sicotj/2024031.

Basics of hip arthroscopy: Step-by-step technique.

Gursoy S, Cirdi Y, Kirac M, Chahla J J Exp Orthop. 2024; 11(2):e12021.

PMID: 38617136 PMC: 11015078. DOI: 10.1002/jeo2.12021.

Hip Pain in the Young Athlete: Femoroacetabular Impingement Syndrome.

Kazi O, Alvero A, Wright-Chisem J, Nho S Sports Health. 2024; 16(6):920-922.

PMID: 38304963 PMC: 11531005. DOI: 10.1177/19417381231223515.

References

Riff A, Kunze K, Movassaghi K, Hijji F, Beck E, Harris J . Systematic Review of Hip Arthroscopy for Femoroacetabular Impingement: The Importance of Labral Repair and Capsular Closure. Arthroscopy. 2019; 35(2):646-656.e3. DOI: 10.1016/j.arthro.2018.09.005. View

Moon J, Yoon J, Kim C, Lee S, Kekatpure A, Yoon P . Hip Arthroscopy for Femoroacetabular Impingement and Concomitant Labral Tears: A Minimum 2-Year Follow-Up Study. Arthroscopy. 2020; 36(8):2186-2194. DOI: 10.1016/j.arthro.2020.04.041. View

Bolia I, Fagotti L, Briggs K, Philippon M . Midterm Outcomes Following Repair of Capsulotomy Versus Nonrepair in Patients Undergoing Hip Arthroscopy for Femoroacetabular Impingement With Labral Repair. Arthroscopy. 2019; 35(6):1828-1834. DOI: 10.1016/j.arthro.2019.01.033. View

Nepple J, Byrd J, Siebenrock K, Prather H, Clohisy J . Overview of treatment options, clinical results, and controversies in the management of femoroacetabular impingement. J Am Acad Orthop Surg. 2013; 21 Suppl 1:S53-8. DOI: 10.5435/JAAOS-21-07-S53. View

Palmer A, Malak T, Broomfield J, Holton J, Majkowski L, Thomas G . Past and projected temporal trends in arthroscopic hip surgery in England between 2002 and 2013. BMJ Open Sport Exerc Med. 2016; 2(1):e000082. PMC: 5117047. DOI: 10.1136/bmjsem-2015-000082. View

M Ilizaliturri Jr V . Complications of arthroscopic femoroacetabular impingement treatment: a review. Clin Orthop Relat Res. 2008; 467(3):760-8. PMC: 2635434. DOI: 10.1007/s11999-008-0618-4. View

Ekhtiari S, de Sa D, Haldane C, Simunovic N, Larson C, Safran M . Hip arthroscopic capsulotomy techniques and capsular management strategies: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2017; 25(1):9-23. DOI: 10.1007/s00167-016-4411-8. View

Cvetanovich G, Harris J, Erickson B, Bach Jr B, Bush-Joseph C, Nho S . Revision Hip Arthroscopy: A Systematic Review of Diagnoses, Operative Findings, and Outcomes. Arthroscopy. 2015; 31(7):1382-90. DOI: 10.1016/j.arthro.2014.12.027. View

Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock K . Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003; (417):112-20. DOI: 10.1097/01.blo.0000096804.78689.c2. View

10.

Larson C, Giveans M, Samuelson K, Stone R, Bedi A . Arthroscopic Hip Revision Surgery for Residual Femoroacetabular Impingement (FAI): Surgical Outcomes Compared With a Matched Cohort After Primary Arthroscopic FAI Correction. Am J Sports Med. 2014; 42(8):1785-90. DOI: 10.1177/0363546514534181. View

11.

Alradwan H, Philippon M, Farrokhyar F, Chu R, Whelan D, Bhandari M . Return to preinjury activity levels after surgical management of femoroacetabular impingement in athletes. Arthroscopy. 2012; 28(10):1567-76. DOI: 10.1016/j.arthro.2012.03.016. View

12.

Baha P, Burkhart T, Getgood A, Degen R . Complete Capsular Repair Restores Native Kinematics After Interportal and T-Capsulotomy. Am J Sports Med. 2019; 47(6):1451-1458. DOI: 10.1177/0363546519832868. View

13.

Economopoulos K, Chhabra A, Kweon C . Prospective Randomized Comparison of Capsular Management Techniques During Hip Arthroscopy. Am J Sports Med. 2020; 48(2):395-402. DOI: 10.1177/0363546519894301. View

14.

Wijdicks C, Balldin B, Jansson K, Stull J, LaPrade R, Philippon M . Cam lesion femoral osteoplasty: in vitro biomechanical evaluation of iatrogenic femoral cortical notching and risk of neck fracture. Arthroscopy. 2013; 29(10):1608-14. DOI: 10.1016/j.arthro.2013.06.021. View

15.

Malviya A, Raza A, Jameson S, James P, Reed M, Partington P . Complications and survival analyses of hip arthroscopies performed in the national health service in England: a review of 6,395 cases. Arthroscopy. 2015; 31(5):836-42. DOI: 10.1016/j.arthro.2014.12.013. View

16.

Hoppe D, de Sa D, Simunovic N, Bhandari M, Safran M, Larson C . The learning curve for hip arthroscopy: a systematic review. Arthroscopy. 2014; 30(3):389-97. DOI: 10.1016/j.arthro.2013.11.012. View

17.

Lee Y, Ha Y, Hwang D, Koo K . Learning curve of basic hip arthroscopy technique: CUSUM analysis. Knee Surg Sports Traumatol Arthrosc. 2012; 21(8):1940-4. DOI: 10.1007/s00167-012-2241-x. View

18.

Mehta N, Chamberlin P, Marx R, Hidaka C, Ge Y, Nawabi D . Defining the Learning Curve for Hip Arthroscopy: A Threshold Analysis of the Volume-Outcomes Relationship. Am J Sports Med. 2018; 46(6):1284-1293. DOI: 10.1177/0363546517749219. View

19.

Frank R, Lee S, Bush-Joseph C, Salata M, Mather 3rd R, Nho S . Outcomes for Hip Arthroscopy According to Sex and Age: A Comparative Matched-Group Analysis. J Bone Joint Surg Am. 2016; 98(10):797-804. DOI: 10.2106/JBJS.15.00445. View

20.

Horner N, Vikas K, MacDonald A, Naendrup J, Simunovic N, Ayeni O . Femoral neck fractures as a complication of hip arthroscopy: a systematic review. J Hip Preserv Surg. 2017; 4(1):9-17. PMC: 5467412. DOI: 10.1093/jhps/hnw048. View