Complications in hip Arthroscopy: Recognizing and managing adverse events
Alexandre Castro1, Cruz de Melo2, Fernando Leal2
1Unidade Local de Saúde de Entre o Douro e Vouga, Department of Orthopedic and Traumatology, Santa Maria da Feira, Street Dr. Cândido Pinho, 4520-220, Santa Maria da Feira, Portugal.
Journal of Clinical Orthopaedics and Trauma
|September 2, 2025
Summary
Hip arthroscopy complications, though uncommon, require understanding. This review details risks like nerve injury and iatrogenic damage, emphasizing prevention and prompt management for patient safety.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
- Sports Medicine
Background:
- Hip arthroscopy is a common surgical technique for hip disorders.
- While generally safe, complications can arise due to increased procedure volume and complexity.
Purpose of the Study:
- To review complications associated with hip arthroscopy.
- To summarize types, causes, and management strategies for adverse events.
- To emphasize early recognition and evidence-based interventions.
Main Methods:
- Literature review and synthesis of authors' experience.
- Categorization of complications including neurovascular, iatrogenic, fluid extravasation, DVT, and heterotopic ossification.
Main Results:
- Neuropraxia (nerve injury) is common, often linked to traction.
- Iatrogenic damage and fluid extravasation are significant concerns.
- Preventive measures include proper positioning, limited traction, and monitoring.
Conclusions:
- Understanding hip arthroscopy risks is crucial.
- Prompt recognition and intervention minimize patient morbidity.
- Improved techniques and training enhance safety.
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