An introduction to hip arthroscopy. Part two: indications, outcomes and complications

Abstract

Part one in our series covered the basic surgical anatomy and techniques used for hip arthroscopy. Part two covers the specific indications and complications of hip arthroscopy. Hip arthroscopy can be used to treat a diverse range of conditions affecting both the central and peripheral compartments of the hip, including loose bodies, femoroacetabular impingement, coxa sultans and septic arthritis. The body of evidence supporting these indications continues to expand; however, there is still much work to be done. Failure to follow the correct technique for patient positioning and portal placement significantly increases the risk of damaging important local neurovascular structures. Complications include neuropraxia secondary to traction or pressure from the perineal post, cartilage injury, infection, fluid extravasation and trochanteric bursitis.