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Refractory pain following hip arthroscopy: evaluation and management
Jason J Shin1, Darren L de Sa1, Jeremy M Burnham1
1Department of Orthopaedics and Sports Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA 15203, USA.
Journal of Hip Preservation Surgery
|February 10, 2018
Summary
Hip arthroscopy is a common treatment for hip pain, but some patients experience persistent issues. Addressing factors like patient selection, surgical technique, and rehabilitation is key to managing failed hip arthroscopy outcomes.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Hip Preservation
Background:
- Hip arthroscopy is increasingly utilized for young adults with hip pain.
- While effective, a subset of patients experience persistent pain and suboptimal results post-arthroscopy.
- Understanding the multifactorial causes of hip arthroscopy failure is crucial.
Purpose of the Study:
- To review the causes and management strategies for failed hip arthroscopy.
- To guide clinicians in evaluating and treating patients with unsatisfactory outcomes after hip arthroscopy.
Main Methods:
- Comprehensive review of literature on hip arthroscopy outcomes and failure.
- Analysis of factors contributing to treatment failure, including patient selection, surgical technique, and rehabilitation.
- Discussion of diagnostic workup for failed hip arthroscopy.
Main Results:
- Reasons for failure are multifactorial, involving patient selection, surgical technique, and rehabilitation.
- Thorough patient evaluation, including history, physical examination, and imaging, is essential.
- Management options range from conservative care to revision surgery.
Conclusions:
- Failed hip arthroscopy requires a tailored treatment plan based on individual patient factors and etiology.
- Revision surgery may be indicated for specific conditions like incomplete impingement treatment, adhesions, or advanced degeneration.
- Optimizing patient selection and surgical technique can improve outcomes and reduce the incidence of failed hip arthroscopy.
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