Hip arthroscopy: What to tell your patient

Jm Nellensteijn ,Villar Rn

doi:10.17159/2309-8309/2016/v15n1a3

Abstract

Hip arthroscopy has gained popularity in recent years. Although femoroacetabular impingement (FAI) is the most common indication for performing the procedure, there are many other conditions affecting the hip joint and its surrounding structures that can also be treated arthroscopically. Before undergoing hip arthroscopy, patients need to be informed about the chances of success of their procedure. In this article we give an overview of the current indications for hip arthroscopic surgery and their clinical outcomes, as revealed in the recent literature.

Highlights

Arthroscopy of the hip has gained popularity in recent years and is an accepted diagnostic tool and treatment option for many problems in and around the hip joint
Femoral head cartilage damage was twice as likely to cause a failure than acetabular damage
Results in osteoarthritis McCarthy and Lee reported that debriding osteophytes or a degenerative labrum could help improve mechanical symptoms in patients with early OA.[25]

Summary

Introduction

Arthroscopy of the hip has gained popularity in recent years and is an accepted diagnostic tool and treatment option for many problems in and around the hip joint. There is more to hip arthroscopy than just FAI Before undergoing such surgery patients clearly need to be informed about the chances of success of their procedure. In this article we will describe the current indications and outcomes of hip arthroscopic surgery for a variety of conditions and trust it might be used as an aide memoire when counselling patients pre-operatively. It is not the purpose of this article to discuss the detailed technique of hip arthroscopy. Cam-type impingement can be treated by excision of the prominent area of the femoral head and neck This is carried out without traction in order to flex the hip and relax the anterior capsule. Both cam and pincer resection may be needed

Results of FAI surgery

Results of interventions in chondral lesions

Results for loose body removal

Results in hip instability surgery

Results in septic arthritis

Results in prosthetic hip endoscopy

Conclusions