Painful Hip Arthroplasty Assessment: Removal of Cement or Loose Bodies

Abstract

Hip arthroscopy has been well established in managing iliopsoas impingement in painful total hip arthroplasty (THA) and as a diagnostic tool for unexplained pain following a seemingly normal THA. Other indications described in the literature are reactive synovitis, adhesions, loose bodies, and infection. With the ever-expanding portfolio of indications, hip arthroscopy in THA is going to rise steeply in numbers and hence, more associated complications will appear. The technical challenge with regard to hip arthroscopy in the setting of hip arthroplasty and associated learning curve must be addressed.