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Complications of FAI Surgery: A Highlight of Common Complications in Published Literature

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Diagnosis and Management of Femoroacetabular Impingement

Abstract

A complication is an event that results in prolonged operation time, or prolonged recovery from surgery, or requires a specific medical treatment, a secondary procedure, or a revision of the index procedure. Major complications are defined as those that have life-threatening sequelae or endanger the viability of the limb involved [1]. In FAI surgery, major complications are represented by deep infection, pulmonary embolism, intra-abdominal fluid extravasation, large-vessel vascular injury, definitive nerve injury, avascular necrosis, femoral neck fracture, trochanteric nonunion, dislocation, and death. Minor complications are iatrogenic chondrolabral damage, skin damage, temporary nerve palsy, capsular adhesion, deep vein thrombosis, broken instrumentation, heterotopic ossification, and microinstability [2].

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Bibliography

  1. Kowalczuk M, et al. Complications following hip arthroscopy: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2013;21(7):1669–75.

    Article  CAS  PubMed  Google Scholar 

  2. Harris JD, et al. Complications and reoperations during and after hip arthroscopy: a systematic review of 92 studies and more than 6,000 patients. Arthroscopy. 2013;29(3):589–95.

    Article  PubMed  Google Scholar 

  3. Laude F, Sariali E, Nogier A. Femoroacetabular impingement treatment using arthroscopy and anterior approach. Clin Orthop Relat Res. 2009;467(3):747–52.

    Article  PubMed  Google Scholar 

  4. Sink EL, et al. Multicenter study of complications following surgical dislocation of the hip. J Bone Joint Surg Am. 2011;93(12):1132–6.

    Article  PubMed  Google Scholar 

  5. Matsuda DK, et al. Comparative systematic review of the open dislocation, mini-open, and arthroscopic surgeries for femoroacetabular impingement. Arthroscopy. 2011;27(2):252–69.

    Article  PubMed  Google Scholar 

  6. Papalia R, et al. Femoroacetabular impingement syndrome management: arthroscopy or open surgery? Int Orthop. 2012;36(5):903–14.

    Article  PubMed  Google Scholar 

  7. Naal FD, et al. Midterm results of surgical hip dislocation for the treatment of femoroacetabular impingement. Am J Sports Med. 2012;40(7):1501–10.

    Article  PubMed  Google Scholar 

  8. Chan K, et al. Complications following hip arthroscopy: a retrospective review of the McMaster experience (2009–2012). Can J Surg. 2013;56(6):422–6.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Matsuda DK. Acute iatrogenic dislocation following hip impingement arthroscopic surgery. Arthroscopy. 2009;25(4):400–4.

    Article  PubMed  Google Scholar 

  10. Austin DC, Horneff 3rd JG, Kelly 4th JD. Anterior hip dislocation 5 months after hip arthroscopy. Arthroscopy. 2014;30:1380–2.

    Article  PubMed  Google Scholar 

  11. Sansone M, et al. Total dislocation of the hip joint after arthroscopy and ileopsoas tenotomy. Knee Surg Sports Traumatol Arthrosc. 2013;21(2):420–3.

    Article  PubMed  Google Scholar 

  12. Mei-Dan O, McConkey MO, Brick M. Catastrophic failure of hip arthroscopy due to iatrogenic instability: can partial division of the ligamentum teres and iliofemoral ligament cause subluxation? Arthroscopy. 2012;28(3):440–5.

    Article  PubMed  Google Scholar 

  13. Ranawat AS, McClincy M, Sekiya JK. Anterior dislocation of the hip after arthroscopy in a patient with capsular laxity of the hip. A case report. J Bone Joint Surg Am. 2009;91(1):192–7.

    Article  PubMed  Google Scholar 

  14. Rosenbaum A, et al. Posterior dislocation of the hip following arthroscopy - a case report and discussion. Bull Hosp Jt Dis (2013). 2014;72(2):181–4.

    Google Scholar 

  15. Dierckman BD, Guanche CA. Anterior hip capsuloligamentous reconstruction for recurrent instability after hip arthroscopy. Am J Orthop (Belle Mead NJ). 2014;43(12):E319–23.

    Google Scholar 

  16. Mardones RM, et al. Surgical treatment of femoroacetabular impingement: evaluation of the effect of the size of the resection. J Bone Joint Surg Am. 2005;87(2):273–9.

    Article  PubMed  Google Scholar 

  17. Alonso-Rasgado T, et al. Changes in the stress in the femoral head neck junction after osteochondroplasty for hip impingement: a finite element study. J Orthop Res. 2012;30(12):1999–2006.

    Article  PubMed  Google Scholar 

  18. Papavasiliou AV, Bardakos NV. Complications of arthroscopic surgery of the hip. Bone Joint Res. 2012;1(7):131–44.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Ilizaliturri Jr VM. Complications of arthroscopic femoroacetabular impingement treatment: a review. Clin Orthop Relat Res. 2009;467(3):760–8.

    Article  PubMed  Google Scholar 

  20. Ganz R, et al. Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br. 2001;83(8):1119–24.

    Article  CAS  PubMed  Google Scholar 

  21. Scher DL, Belmont Jr PJ, Owens BD. Case report: osteonecrosis of the femoral head after hip arthroscopy. Clin Orthop Relat Res. 2010;468(11):3121–5.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Sener N, et al. Avascular necrosis of the femoral head after hip arthroscopy. Hip Int. 2011;21(5):623–6.

    Article  PubMed  Google Scholar 

  23. Naito M, et al. Acute effect of traction, compression, and hip joint tamponade on blood flow of the femoral head: an experimental model. J Orthop Res. 1992;10(6):800–6.

    Article  CAS  PubMed  Google Scholar 

  24. Ong C, Hall M, Youm T. Surgical technique: arthroscopic treatment of heterotopic ossification of the hip after prior hip arthroscopy. Clin Orthop Relat Res. 2013;471(4):1277–82.

    Article  PubMed  Google Scholar 

  25. Bedi A, et al. The incidence of heterotopic ossification after hip arthroscopy. Am J Sports Med. 2012;40(4):854–63.

    Article  PubMed  Google Scholar 

  26. Larson CM, Giveans MR. Arthroscopic management of femoroacetabular impingement: early outcomes measures. Arthroscopy. 2008;24(5):540–6.

    Article  PubMed  Google Scholar 

  27. Brooker AF, et al. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am. 1973;55(8):1629–32.

    CAS  PubMed  Google Scholar 

  28. Randelli F, et al. Heterotopic ossifications after arthroscopic management of femoroacetabular impingement: the role of NSAID prophylaxis. J Orthop Traumatol. 2010;11(4):245–50.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Beckmann JT, et al. The effect of NSAID prophylaxis and operative variables on heterotopic ossification after hip arthroscopy. Am J Sports Med. 2014;42(6):1359–64.

    Article  PubMed  Google Scholar 

  30. Steppacher SD, et al. Surgical hip dislocation for treatment of femoroacetabular impingement: factors predicting 5-year survivorship. Clin Orthop Relat Res. 2014;472(1):337–48.

    Article  PubMed  Google Scholar 

  31. de Sa D, et al. Femoroacetabular impingement in skeletally immature patients: a systematic review examining indications, outcomes, and complications of open and arthroscopic treatment. Arthroscopy. 2014;31:373–84.

    PubMed  Google Scholar 

  32. Nwachukwu BU, et al. Complications of hip arthroscopy in children and adolescents. J Pediatr Orthop. 2011;31(3):227–31.

    Article  PubMed  Google Scholar 

  33. Dietrich F, et al. Complications in hip arthroscopy: necessity of supervision during the learning curve. Knee Surg Sports Traumatol Arthrosc. 2014;22(4):953–8.

    Article  PubMed  Google Scholar 

  34. Park MS, et al. Hip arthroscopy for femoroacetabular impingement: the changing nature and severity of associated complications over time. Arthroscopy. 2014;30:957–63.

    Article  PubMed  Google Scholar 

  35. Gedouin JE, et al. Assessment of arthroscopic management of femoroacetabular impingement. A prospective multicenter study. Orthop Traumatol Surg Res. 2010;96(8 Suppl):S59–67.

    Article  PubMed  Google Scholar 

  36. Byrd JW, Jones KS. Arthroscopic management of femoroacetabular impingement in athletes. Am J Sports Med. 2011;39(Suppl):7S–13.

    Article  PubMed  Google Scholar 

  37. Pailhe R, et al. Pudendal nerve neuralgia after hip arthroscopy: retrospective study and literature review. Orthop Traumatol Surg Res. 2013;99(7):785–90.

    Article  CAS  PubMed  Google Scholar 

  38. Telleria JJ, et al. Risk of sciatic nerve traction injury during hip arthroscopy-is it the amount or duration? An intraoperative nerve monitoring study. J Bone Joint Surg Am. 2012;94(22):2025–32.

    Article  PubMed  Google Scholar 

  39. Byrd JW. Hip arthroscopy utilizing the supine position. Arthroscopy. 1994;10(3):275–80.

    Article  CAS  PubMed  Google Scholar 

  40. Kruger DM, et al. Traction force profiles associated with the use of a fracture table: a preliminary report. J Orthop Trauma. 1990;4(3):283–6.

    Article  CAS  PubMed  Google Scholar 

  41. Mei-Dan O, McConkey MO, Young DA. Hip arthroscopy distraction without the use of a perineal post: prospective study. Orthopedics. 2013;36(1):e1–5.

    Article  PubMed  Google Scholar 

  42. Rupp R, Duggan B. Peripheral versus central compartment starting point in hip arthroscopy for femoroacetabular impingement. Orthopedics. 2012;35(2):e148–53.

    PubMed  Google Scholar 

  43. Griffin DR, Villar RN. Complications of arthroscopy of the hip. J Bone Joint Surg Br. 1999;81(4):604–6.

    Article  CAS  PubMed  Google Scholar 

  44. Sadri H. Complex therapeutic hip arthroscopy with the use of a femoral distractor. In: Sekiya JK et al., editors. Techniques in hip arthroscopy and joint preservation surgery. Philadelphia: Saunders; 2011. p. 113–20.

    Chapter  Google Scholar 

  45. Byrd JW, Pappas JN, Pedley MJ. Hip arthroscopy: an anatomic study of portal placement and relationship to the extra-articular structures. Arthroscopy. 1995;11(4):418–23.

    Article  CAS  PubMed  Google Scholar 

  46. Elsaidi GA, et al. Complications associated with traction on the hip during arthroscopy. J Bone Joint Surg Br. 2004;86(6):793–6.

    Article  CAS  PubMed  Google Scholar 

  47. Oak N, et al. Complications in hip arthroscopy. Sports Med Arthrosc. 2013;21(2):97–105.

    Article  PubMed  Google Scholar 

  48. Badylak JS, Keene JS. Do iatrogenic punctures of the labrum affect the clinical results of hip arthroscopy? Arthroscopy. 2011;27(6):761–7.

    Article  PubMed  Google Scholar 

  49. Domb B, Hanypsiak B, Botser I. Labral penetration rate in a consecutive series of 300 hip arthroscopies. Am J Sports Med. 2012;40(4):864–9.

    Article  PubMed  Google Scholar 

  50. Byrd JW. Avoiding the labrum in hip arthroscopy. Arthroscopy. 2000;16(7):770–3.

    Article  CAS  PubMed  Google Scholar 

  51. Hernandez JD, McGrath BE. Safe angle for suture anchor insertion during acetabular labral repair. Arthroscopy. 2008;24(12):1390–4.

    Article  PubMed  Google Scholar 

  52. Lertwanich P, et al. Defining a safety margin for labral suture anchor insertion using the acetabular rim angle. Am J Sports Med. 2011;39(Suppl):111S–6.

    Article  PubMed  Google Scholar 

  53. Kocher MS, et al. Intra-abdominal fluid extravasation during hip arthroscopy: a survey of the MAHORN group. Arthroscopy. 2012;28(11):1654–60.e2.

    Article  PubMed  Google Scholar 

  54. Verma M, Sekiya JK. Intrathoracic fluid extravasation after hip arthroscopy. Arthroscopy. 2010;26(9 Suppl):S90–4.

    Article  PubMed  Google Scholar 

  55. Ribas M, et al. Hip osteoplasty by an anterior minimally invasive approach for active patients with femoroacetabular impingement. Hip Int. 2007;17(2):91–8.

    CAS  PubMed  Google Scholar 

  56. Lincoln M, et al. Combined arthroscopic and modified open approach for cam femoroacetabular impingement: a preliminary experience. Arthrocopy. 2009;25(4):392–9.

    Article  Google Scholar 

  57. Cohen SB, et al. Treatment of femoroacetabular impingement in athletes using a mini-direct anterior approach. Am J Sports Med. 2012;40(7):1620–7.

    Article  PubMed  Google Scholar 

  58. Srinivasan SC, Hosny HA, Williams MR. Combined hip arthroscopy and limited open osteochondroplasty for anterior femoroacetabular impingement: early patient reported outcomes. Hip Int. 2013;23(2):218–24.

    Article  PubMed  Google Scholar 

  59. Peters CL, et al. Open treatment of femoroacetabular impingement is associated with clinical improvement and low complication rate at short-term followup. Clin Orthop Relat Res. 2010;468(2):504–10.

    Article  PubMed  Google Scholar 

  60. Botser IB, et al. Open surgical dislocation versus arthroscopy for femoroacetabular impingement: a comparison of clinical outcomes. Arthroscopy. 2011;27(2):270–8.

    Article  PubMed  Google Scholar 

  61. Kempthorne JT, et al. Surgical dislocation of the hip and the management of femoroacetabular impingement: results of the Christchurch experience. ANZ J Surg. 2011;81(6):446–50.

    Article  PubMed  Google Scholar 

  62. Bastian JD, et al. Stepped osteotomy of the trochanter for stable, anatomic refixation. Clin Orthop Relat Res. 2009;467(3):732–8.

    Article  PubMed  Google Scholar 

  63. Beaule PE, Le Duff MJ, Zaragoza E. Quality of life following femoral head-neck osteochondroplasty for femoroacetabular impingement. J Bone Joint Surg Am. 2007;89(4):773–9.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Hip and Sports Medicine Department, Lyon Ortho Clinic, Clinique de la Sauvegarde, 29 B avenue des Sources, Lyon, 69009, France

    Cécile Batailler MD, Elliot Sappey-Marinier MD & Nicolas Bonin MD

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  1. Cécile Batailler MD
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  2. Elliot Sappey-Marinier MD
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  3. Nicolas Bonin MD
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Correspondence to Nicolas Bonin MD .

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Editors and Affiliations

  1. McMaster University, Hamilton, Ontario, Canada

    Olufemi R. Ayeni

  2. Hosp, Academy University of Gothenburg, Dept. of Orthopaedics, Sahlgrenska Univ Hosp, Academy University of Gothenburg, Gothenburg, Sweden

    Jón Karlsson

  3. Steadman Clinic, Ste 1000, Steadman Philippon Research Inst Steadman Clinic, Ste 1000, Vail, Colorado, USA

    Marc J Philippon

  4. Stanford University Dept of Orthopaedic Surg, M/C 6342, Redwood City, California, USA

    Marc R. Safran

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Batailler, C., Sappey-Marinier, E., Bonin, N. (2017). Complications of FAI Surgery: A Highlight of Common Complications in Published Literature. In: Ayeni, O., Karlsson, J., Philippon, M., Safran, M. (eds) Diagnosis and Management of Femoroacetabular Impingement. Springer, Cham. https://doi.org/10.1007/978-3-319-32000-7_17

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  • DOI: https://doi.org/10.1007/978-3-319-32000-7_17

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