Hip arthroscopy: short-term outcomes

Abstract

Introduction: As a minimally invasive procedure, hip arthroscopy plays an increasingly significant role in the diagnostics and management of hip joint diseases. In this study, we present our initial experience with hip arthroscopy established at our department. Aim: Our aim was to integrate the hip arthroscopy procedure into the surgical protocol of our department, since after reviewing the relevant literature and evaluating our experience gained during study visits abroad, we consider this intervention to be a reasonable and successful technique. Method: Results of 29 hip arthroscopy interventions performed between 01 January 2017 and 15 April 2019 at our department were evaluated by comparing pre- and postoperative modified Harris hip scores (mHHS). Surgeries were performed with 30-degree scopes, typically via standard access sites. The typical indication for surgery was hip impingement syndrome. Results: Isolated cam deformity, isolated pincer deformity and mixed deformity were detected in 3, 9 and 13 cases, respectively. The mean age of the 13 male and 16 female subjects was 44.1 years. The age of our patients ranged between 22 years and 60 years. After surgery, significant improvement of mHHS was detected both according to the F-test and the Student's t-test. Conclusions: Hip arthroscopy is an appropriate treatment alternative for the surgical management of many hip conditions. Even though the learning curve is longer than that of the endoscopic examinations of other joints, adequate surgical design can minimise the risk of complications, making this intervention a potential solution for the management of multiple hip conditions. Orv Hetil. 2020; 161(9): 340-346.