Hip Arthroscopy

Patients with both femoroacetabular impingement and depression or anxiety had significantly greater opioid use and health care costs before and after hip arthroscopy than those who had femoroacetabular impingement alone, according to published results.

Hip arthroscopy is a unique and novel specialty within the field of joint preservation. One of the most common indications for it, femoroacetabular impingement, was first coined in 1999. Initially, femoroacetabular impingement was commonly addressed with open surgical hip dislocation, a procedure described by Reinhold Ganz, MD, and colleagues in 2001, which was considered the gold standard for surgical treatment of femoroacetabular impingement for much of the following decade. Only in the last decade did hip arthroscopy become more commonly performed for this indication. However, the anatomic complexity of the hip joint, including the proximity of neurovascular structures and the relative inelasticity of the surrounding ligaments, yielded a significant learning curve. Inevitably, surgeons undertaking hip arthroscopies face a subset of patients with continued complaints, sometimes referred to as failed hip arthroscopy syndrome. The growing popularity of hip arthroscopy has necessitated the development of specialized referral centers, which must act as a resource to the surgeon facing a patient complaining of continued pain after primary hip arthroscopy.

Clinical improvement may still be achieved among patients with borderline hip dysplasia who undergo revision hip arthroscopy despite being less likely to achieve patient-acceptable symptom state metrics for several subjective outcomes, according to published results.

Patients had a low incidence of 30-day unplanned admission after hip arthroscopy, with chronic corticosteroid use, perioperative transfusions and greater BMI identified as independent risk factors, according to published results.

Patients who had high expectations prior to hip arthroscopy for femoroacetabular impingement had improved patient-reported outcomes and return to function, according to results.

Clinically significant worse outcomes in patients with femoroacetabular impingement after hip arthroscopy were associated with baseline psychological impairment.

DALLAS — Investigators found no statistically significant difference in postoperative change in patient-reported outcome scores among patients who underwent hip arthroscopy after periacetabular osteotomy, according to a presenter at the American Association of Hip and Knee Surgeons Annual Meeting.

Published results showed use of plain bupivacaine had no significant differences in postoperative pain scores and narcotic pill usage after hip arthroscopy compared with liposomal bupivacaine administered via a fascia iliaca blockade.

BOSTON — Predictors of failure to achieve a minimally clinically important difference following hip arthroscopy include mental health, symptom duration length, non-intra-articular hip related pain and preoperative intra-articular injections, according to a presentation at the American Orthopaedic Society for Sports Medicine Annual Meeting.