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Revision Hip Arthroscopy Terrible Triad: Capsular Deficiency, Labral Deficiency, and Femoral Over-Resection.
Joseph J Ruzbarsky1, Ali Noorzad1, Nicholas A Felan2
1The Steadman Clinic, Vail, Colorado, U.S.A.; The Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
Summary
Revision hip arthroscopy addresses complex issues like labral and capsular deficiency, and cam over-resection. Comprehensive correction of these pathologies can restore hip anatomy and function, leading to improved outcomes.
Area of Science:
- Orthopedic Surgery
- Arthroscopy
- Hip Preservation
Background:
- Revision hip arthroscopy is frequently performed for residual femoroacetabular impingement.
- Pathologies like capsular deficiency, labral deficiency, and cam over-resection present challenges during revision surgery.
Purpose of the Study:
- To outline comprehensive management strategies for complex pathologies encountered during revision hip arthroscopy.
- To emphasize restoring hip anatomy, fluid seal, and impingement-free motion.
Main Methods:
- Labral deficiency treated with augmentation or reconstruction.
- Capsular deficiency managed with primary repair or reconstruction.
- Cam over-resection addressed with soft-tissue remplissage techniques.
Main Results:
- These techniques aim to comprehensively correct combined pathologies, even in salvage scenarios.
- Improved patient outcomes and acceptable survivorship are achievable with these reconstructive methods.
Conclusions:
- Revision hip arthroscopy requires addressing multiple complex pathologies.
- Comprehensive surgical correction of labral deficiency, capsular deficiency, and cam over-resection can restore hip function and improve long-term results.
