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Complications of Arthroscopic Femoroacetabular Impingement Treatment: A Review

  • Symposium: Femoroacetabular Impingement: Current Status of Diagnosis and Treatment
  • Published:
Clinical Orthopaedics and Related Research

Abstract

Recent developments in hip arthroscopy techniques and technology have made it possible in many cases to avoid open surgical technique for treating pincer-type and cam-type femoroacetabular impingement and rather treating it arthroscopically. Early reports suggest favorable results using arthroscopic techniques. The frequency of complications reported for hip arthroscopy for all indications is generally less than 1.5%, suggesting the procedure is safe. Little information is available on complications directly related to the arthroscopic treatment of femoroacetabular impingement. Failure to recognize and treat or incompletely reshape impingement deformities may be the most frequent cause for a second hip arthroscopy and redébridement of the deformity. There has been no report of avascular necrosis related to the arthroscopic treatment of femoroacetabular impingement; only one femoral neck fracture after arthroscopic cam remodeling has been reported in a large series of patients. Other clinical concerns include hip dislocation secondary to extensive capsulotomies or overresection of the anterior acetabular rim in the case of pincer impingement.

Level of Evidence: Level V, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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References

  1. Bartlett CS, DiFelice GS, Buly RL, Quinn TJ, Green DST, Helfet DL. Cardiac arrest as a result of intraabdominal extravasation of fluid during arthroscopic removal of a loose body from the hip joint of a patient with an acetabular fracture. J Orthop Trauma. 1998;12:294–299.

    Article  PubMed  CAS  Google Scholar 

  2. Beck M, Leunig M, Parvizi J, Boutier V, Wyss D, Ganz R. Anterior femoroacetabular impingement: part II. Midterm results of surgical treatment. Clin Orthop Relat Res. 2004;418:67–73.

    Article  PubMed  Google Scholar 

  3. Braly BA, Beall DP, Martin HD. Clinical examination of the athletic hip. Clin Sports Med. 2006;25:199–210.

    Article  PubMed  Google Scholar 

  4. Bushnell BD, Anz AW, Bert JM. Venous thromboembolism in lower extremity arthroscopy. Arthroscopy. 2008;24:604–611.

    PubMed  Google Scholar 

  5. Byrd JW. Hip arthroscopy: the supine position. Clin Sports Med. 2001;20:703–731.

    Article  PubMed  CAS  Google Scholar 

  6. Byrd JW. Hip arthroscopy. J Am Acad Orthop Surg. 2006;14:433–444.

    PubMed  Google Scholar 

  7. Byrd JW, Chern KY. Traction versus distension for distraction of the joint during hip arthroscopy. Arthroscopy. 1997;13:346–349.

    PubMed  CAS  Google Scholar 

  8. Byrd JWT. Complications associated with hip arthroscopy. In: Byrd JWT, ed. Operative Hip Arthroscopy. New York: Thieme; 1998:171–176.

    Google Scholar 

  9. Clarke MT, Villar RN. Hip arthroscopy: complications in 1054 cases. Clin Orthop Relat Res. 2003;406:84–88.

    Article  PubMed  Google Scholar 

  10. Crawford JR, Villar RN. Current concepts in the management of femoroacetabular impingement. J Bone Joint Surg Br. 2005;87:1459–1462.

    Article  PubMed  CAS  Google Scholar 

  11. Dienst M, Godde S, Seil R, Hammer D, Kohn D. Hip arthroscopy without traction: in vivo anatomy of the peripheral joint cavity. Arthroscopy. 2001;17:924–931.

    PubMed  CAS  Google Scholar 

  12. Dienst M, Seil R, Kohn DM. Safe arthroscopic access to the central compartment of the hip. Arthroscopy. 2005;21:1510–1514.

    PubMed  Google Scholar 

  13. Ganz R, Leunig M, Leunig-Ganz K, Harris WH. The etiology of osteoarthritis of the hip: an integrated mechanical concept. Clin Orthop Relat Res. 2008;466:264–272.

    Article  PubMed  Google Scholar 

  14. Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA. Femoroacetabular impingement: a cause of osteoarthritis of the hip. Clin Orthop Relat Res. 2003;417:112–120.

    PubMed  Google Scholar 

  15. Gautier E, Ganz K, Krugel N, Gill T, Ganz R. Anatomy of the medial femoral circumflex artery and its surgical implications. J Bone Joint Surg Br. 2000;82:679–683.

    Article  PubMed  CAS  Google Scholar 

  16. Glick JM, Sampson TG, Gordon RB, Behr JT, Schmidt E. Hip arthroscopy by the lateral approach. Arthroscopy. 1987;3:4–12.

    PubMed  CAS  Google Scholar 

  17. Guanche CA, Bare AA. Arthroscopic treatment of femoroacetabular impingement. Arthroscopy. 2006;22:95–106.

    PubMed  Google Scholar 

  18. Heyworth BE, Shindle MK, Voos JE, Rudzki JR, Kelly BT. Radiologic and intraoperative findings in revision hip arthroscopy. Arthroscopy. 2007;23:1295–1302.

    Article  PubMed  Google Scholar 

  19. Ilizaliturri VM Jr, Chaidez PA, Aguilera JM, Camacho-Galindo J. Special instruments and techniques for hip arthroscopy. Techniques in Orthopedics. 2005;20:9–16.

    Article  Google Scholar 

  20. Ilizaliturri VM Jr, Mangino G, Valero FS, Camacho-Galindo J. Hip arthroscopy of the central and peripheral compartments by the lateral approach. Techniques in Orthopedics. 2005;20:32–36.

    Article  Google Scholar 

  21. Ilizaliturri VM Jr, Nossa-Barrera JM, Acosta-Rodriguez E, Camacho-Galindo J. Arthroscopic treatment of femoroacetabular impingement secondary to pediatric hip disorders. J Bone Joint Surg Br. 2007;89:1025–1030.

    Article  PubMed  Google Scholar 

  22. Ilizaliturri VM Jr, Orozco-Rodriguez L, Acosta-Rodriguez E, Camacho-Galindo J. Arthroscopic treatment of cam-type femoroacetabular impingement. J Arthroplasty. 2008;23:226–234.

    Article  PubMed  Google Scholar 

  23. Leunig M, Beck M, Dora C, Ganz R. Femoroacetabular impingement: etiology and surgical concept. Oper Tech Orthop. 2005;15:247–255.

    Article  Google Scholar 

  24. Mardones RM, Gonzalez C, Chen Q, Zobitz M, Kaufman KR, Trusdale RT. Surgical treatment of femoroacetabular impingement: evaluation of the size of the resection. J Bone Joint Surg Am. 2005;87:273–279.

    Article  PubMed  Google Scholar 

  25. May O, Matar WY, Beaulé PE. Treatment of failed arthroscopic acetabular labral debridement by femoral chondro-osteoplasty. J Bone Joint Surg Br. 2007;89:595–598.

    Article  PubMed  CAS  Google Scholar 

  26. McCarthy JC. Hip arthroscopy: applications and technique. J Am Acad Orthop Surg. 1995;3:115–122.

    PubMed  Google Scholar 

  27. Philippon MJ. The role of arthroscopic thermal capsulorrhaphy in the hip. Clin Sports Med. 2001;20:817–829.

    Article  PubMed  CAS  Google Scholar 

  28. Philippon MJ, Schenker ML, Briggs KK, Kuppersmith DA, Maxwel RB, Stubbs AJ. Revision hip arthroscopy. Am J Sports Med. 2007;35:1918–1921.

    Article  PubMed  Google Scholar 

  29. Philippon MJ, Stubbs AJ, Shenker ML, Maxwell RB, Ganz R, Leunig M. Arthroscopic management of femoroacetabular impingement: osteoplasty technique and literature review. Am J Sports Med. 2007;35:1571–1580.

    Article  PubMed  Google Scholar 

  30. Philippon MJ, Schenker ML. Athletic hip injuries and capsular laxity. Oper Tech Orthop. 2005;15:261–266.

    Article  Google Scholar 

  31. Sampson TG. Arthroscopic treatment of femoroacetabular impingement. Techniques in Orthopedics. 2005;20:56–62.

    Article  Google Scholar 

  32. Sampson TG. Complications of hip arthroscopy. Techniques in Orthopedics. 2005;20:63–66.

    Article  Google Scholar 

  33. Tannast M, Siebenrock KA, Anderson SE. Femoroacetabular impingement: radiographic diagnosis—what the radiologist should know. AJR Am J Roentgenol. 2007;188:1540–1552.

    Article  PubMed  Google Scholar 

  34. Torry MR, Schenker ML, Martin HD, Hogoboom D, Philippon MJ. Neuromuscular hip biomechanics and pathology in the athlete. Clin Sports Med. 2006;25:179–197.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. National Rehabilitation Institute of Mexico, Amores 942-21, Colonia del Valle, Mexico City, 03100, Mexico

    Victor M. Ilizaliturri Jr. MD

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  1. Victor M. Ilizaliturri Jr. MD
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Correspondence to Victor M. Ilizaliturri Jr. MD.

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The author certifies that he has or may receive payments or benefits from a commercial entity related to this work (Smith and Nephew Endoscopy, Andover, MA).

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Ilizaliturri, V.M. Complications of Arthroscopic Femoroacetabular Impingement Treatment: A Review. Clin Orthop Relat Res 467, 760–768 (2009). https://doi.org/10.1007/s11999-008-0618-4

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  • DOI: https://doi.org/10.1007/s11999-008-0618-4

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