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The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
Approach to Revision Hip Arthroscopy: Tips and Tricks.
Collin N Nguyen1, Jack H Drake1, Andrea M Spiker1
1Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Video Journal of Sports Medicine
|June 15, 2026
Summary
Revision hip arthroscopy effectively addresses persistent hip pain after initial surgery by correcting bony impingement, labral issues, and capsular problems. While safe, outcomes may be less than primary procedures, with a higher conversion rate to total hip replacement.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Arthroscopy
Background:
- Hip arthroscopy rates are increasing, leading to a rise in revision procedures.
- Persistent pain after primary hip arthroscopy often stems from unresolved bony impingement, capsular insufficiency, or labral pathology.
Purpose of the Study:
- To outline the indications, techniques, and outcomes of revision hip arthroscopy.
- To provide guidance for surgeons managing patients with failed primary hip arthroscopy.
Main Methods:
- Preoperative assessment includes review of surgical notes, radiographic imaging (including 3D CT), and MRI arthrograms.
- Intraoperative techniques involve creating new portals, diagnostic arthroscopy, addressing residual bony impingement (cam, pincer, subspine), labral reconstruction, and capsular repair/augmentation.
- Postoperative care follows primary hip arthroscopy protocols with protected weightbearing and early motion.
Main Results:
- Revision hip arthroscopy is a safe and reliable procedure for improving pain and function.
- Postoperative gains may be less significant compared to primary hip arthroscopy.
- Complication rates are comparable to primary procedures, but the risk of conversion to total hip arthroplasty is higher.
Conclusions:
- When indicated and performed meticulously, revision hip arthroscopy is a viable option for patients with failed primary hip surgeries.
- Careful attention to residual bony impingement, labral pathology, and capsular integrity is crucial for successful outcomes.
