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Revision hip arthroscopy: findings and outcomes
F Winston Gwathmey1, Kay S Jones2, J W Thomas Byrd2
1Orthopaedic Surgery, University of Virginia Health System, 400 Ray C. Hunt Drive, Suite 330, Charlottesville, VA 22903, USA.
Journal of Hip Preservation Surgery
|December 19, 2017
Summary
Revision hip arthroscopy offers significant symptomatic improvement for patients with persistent issues after initial surgery. This procedure demonstrates favorable outcomes and a low complication rate when properly selected.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Hip Arthroscopy
Background:
- Persistent or recurrent hip pain following initial arthroscopy is a common clinical challenge.
- Revision hip arthroscopy aims to address residual or new pathologies not resolved by the primary procedure.
- Evaluating outcomes of revision hip arthroscopy is crucial for guiding patient selection and surgical planning.
Purpose of the Study:
- To report operative findings and patient outcomes following revision hip arthroscopy.
- To assess the effectiveness of revision hip arthroscopy in resolving persistent hip symptoms.
- To determine the complication rate associated with revision hip arthroscopy.
Main Methods:
- Prospective assessment of 190 hips (186 patients) undergoing revision hip arthroscopy with a minimum 2-year follow-up.
- Preoperative and postoperative evaluation using the modified Harris Hip Score (mHHS).
- Analysis of diagnoses, surgical procedures (e.g., labral repair, FAI correction, synovectomy), and subsequent interventions.
Main Results:
- 84.5% of patients reported symptomatic improvement at a mean follow-up of 46.9 months.
- For patients not undergoing further surgery (n=166), mHHS improved by 27.1 points (from 54.5 to 81.6).
- Patients treated for femoroacetabular impingement (FAI) showed a mean mHHS improvement of 25.7 points. Complications were infrequent and mostly transient.
Conclusions:
- Revision hip arthroscopy can yield favorable outcomes for carefully selected patients with persistent symptoms post-primary hip arthroscopy.
- The procedure demonstrates an acceptably low complication rate.
- Addressing underlying issues like labral tears and FAI in revision surgery leads to significant functional improvement.

