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Increasing Rates of Capsular Repair in Pediatric Hip Arthroscopy: A Trend Analysis between 2014 and 2022
Shawn J Geffken1, Lucas Bartlett2, Jeni Sacklow1
1New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA.
Hip & Pelvis
|December 1, 2025
Summary
Pediatric hip arthroscopy has significantly increased, with more surgeons performing the procedure annually. Surgical techniques are evolving, with a rise in outpatient procedures for femoroacetabular impingement (FAI).
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Sports Medicine
Background:
- Hip arthroscopy in pediatric patients has seen increased utilization.
- Understanding trends in procedural techniques and surgeon demographics is crucial.
Purpose of the Study:
- To assess the continuing increase in pediatric hip arthroscopy incidence.
- To identify changes in surgical techniques and patient-surgeon demographics over time.
Main Methods:
- Retrospective review of pediatric hip arthroscopy cases (2014-2022) from a multi-institutional database.
- Statistical analysis using Pearson correlation and two-sample Z test to identify trends.
Main Results:
- A 266.67% increase in annual procedures and 400% increase in surgeons performing pediatric hip arthroscopy from 2015-2022.
- Femoroacetabular impingement (FAI) accounted for 90.4% of indications, with a significant increase in isolated FAI cases.
- Trends showed increased outpatient procedures, capsular closure, but no significant change in labral management.
Conclusions:
- The number of pediatric hip arthroscopy procedures and performing surgeons has significantly increased.
- Procedures are increasingly performed by non-pediatric trained surgeons, in outpatient settings, for isolated FAI, with capsular closure becoming more common.
