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Arthroscopic hip preservation surgery: current concepts and perspective
A Bedi1, B T Kelly, V Khanduja
1University of Michigan, MedSport, Department of Orthopaedic Surgery, Lobby A, 24 Frank Lloyd Wright Drive, Ann Arbor, Michigan 48106, USA. abedi@umich.edu
The Bone & Joint Journal
|January 12, 2013
Summary
Arthroscopic hip surgery advances treat more conditions like labral tears and femoroacetabular impingement (FAI). Proper technique leads to improved function and return to activity for many patients.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Arthroscopy
Background:
- Technical advancements in hip arthroscopy enhance surgical capabilities.
- The scope of treatable hip conditions via arthroscopy has significantly expanded.
- Improved management of the hip capsule and exposure facilitates complex procedures.
Purpose of the Study:
- To review the current applications of hip arthroscopy.
- To discuss the expanding list of hip disorders treatable with arthroscopy.
- To highlight the clinical outcomes and functional improvements achievable.
Main Methods:
- Review of current literature and clinical practices in hip arthroscopy.
- Analysis of technical advancements enabling broader applications.
- Evaluation of diagnostic criteria and procedural indications.
Main Results:
- Arthroscopy now addresses symptomatic labral tears, chondral lesions, ligamentum teres injuries, femoroacetabular impingement (FAI), and capsular instability.
- Extra-articular conditions like snapping hip syndromes are also managed arthroscopically.
- Successful outcomes include predictable functional gains and return to pre-injury activity levels.
Conclusions:
- Hip arthroscopy is a versatile tool for a growing range of hip pathologies.
- Careful diagnosis and precise surgical execution are key to successful outcomes.
- The procedure offers significant potential for restoring function and activity in patients with hip disorders.