Skip to main content
SpringerLink
Log in

Arthroscopy Following Total Hip Replacement

  • Chapter
  • First Online:
Hip Joint Restoration

  • 185 Accesses

Abstract

Despite outstanding results in the majority of patients total hip replacement may be associated with a number of unplanned outcomes. Some of these are visible radiographically, such as a trochanteric wire or titanium bead within the joint or a screw backing out. However some painful conditions are not readily diagnosable by imaging. These conditions may include dense scar from an anterior hip approach tethering the iliopsoas muscle. Trunnion metallosis, when early, may also not be visualized. It is for all of the above reasons that arthroscopy, for patients with unremitting pain post-arthroplasty is valuable. It can directly visualize the joint articulation and bearing surfaces. It can identify and treat arthrofibrosis and tethering scar. It can facilitate loose body or hardware removal. It may also help, because the joint can be moved, demonstrate dynamic pathologic soft-tissue conditions. Since the procedure is performed as an outpatient it reduces surgical risk and cost.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kurtz S et al. Projection of primary and revision hip and knee arthroplasty in the U.S. JBJS. 2007;89(4):780–5.

    Google Scholar 

  2. Palmer DH, Ganesh V, Comfort T, Tatman P. Midterm outcomes in patients with cam femoroacetabular impingement treated arthroscopically. Arthroscopy. 2012;28(11):1671–81.

    Article  PubMed  Google Scholar 

  3. Lavigne M, Rama KR, Roy A, Venditolli PA. Painful impingement of the hip joint after total hip resurfacing: a report of two cases. J Arthroplasty. 2008;23:1074–9.

    Article  PubMed  Google Scholar 

  4. Morlock MM, Bishop N, Stahmer F, et al. Reasons for failure of hip resurfacing implants: a failure analysis based on 250 revision specimens. Orthopade. 2008;37:695–703. German.

    Article  CAS  PubMed  Google Scholar 

  5. Bajwa AS, Villar RN. Arthroscopy of the hip in patients following joint replacement. J Bone Joint Surg Br. 2011;93:890–6.

    Article  CAS  PubMed  Google Scholar 

  6. McCarthy JC, Lee J. The role of arthroscopy in evaluation of painful hip arthroplasty. Clin Orthop Relat Res. 2009;467:174–80.

    Article  PubMed  Google Scholar 

  7. Jaykumar P et al. Arthroscopy of the hip for pediatric and adolescent disorders. J Bone Joint Surg (Br). 2012;94:290–6.

    Article  Google Scholar 

  8. Bozic KJ, Rubash HE. The painful total hip replacement. Clin Orthop Relat Res. 2004;420:18–25.

    Article  Google Scholar 

  9. Robbins GM, Masri BA, Garbunz DS, Duncan CP. Evaluation of pain in patients with apparently solidly fixed total hip arthroplasty components. J Am Acad Orthop Surg. 2002;10:86–94.

    Article  PubMed  Google Scholar 

  10. Ebreo D, Khan A, El-Meligy M, Armstrong C, Viju P. Metal ion levels decrease after revision for metallosis arising from large diameter metal-on-metal total hip arthroplasty. Acta Orthop Belg. 2001;77:777–81.

    Google Scholar 

  11. Riley PM, Weiner DS, Gillesepie R, et al. Hazards of internal fixation in the treatment of slipped capital femoral epiphysis. JBJS. 1990;72:1500–9.

    Article  CAS  Google Scholar 

  12. Khanduja V, Villar RN. The role of arthroscopy in resurfacing arthroplasty of the hip. Arthroscopy. 2008;24(1):122.e1–e3.

    Article  Google Scholar 

  13. Ilizaliturri VM, Zarate-Kalfopulos B, Martinez-Escalante FA, et al. Arthroscopic retrieval of a broken guidewire fragment from the hip joint after cannulated screw fixation of slipped capital femoral epiphysis. Arthroscopy. 2007;23(2):227.e1–e4.

    Article  Google Scholar 

  14. Pandit H, Glynne-Jones S, McLardy-Smith P, et al. Pseudotumors associated with metal-on-metal hip resurfacings. JBJS. 2008;90-B:847–51.

    Google Scholar 

  15. Willert HG, Buchhorn GH, Fayyazai A, et al. Metal-on-metal bearings and hypersensitivity in patients with artificial hip joint: a clinical and histomorphological study. JBJS. 2005;87:28–36.

    Google Scholar 

  16. Banerjee P, McLean CR. Femoroacetabular impingement: a review of diagnosis and management. Curr Rev Musculoskelet Med. 2011;4(1):23–32.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Phillipon MJ, Stubbs AJ, Schenker ML, Maxwell RB, et al. Arthroscopic management of FAI: osteoplasty technique and literature review. Am J Sports Med. 2007;35(9):1571–80.

    Article  Google Scholar 

  18. O’Sullivan M et al. Iliopsoas tendonitis: a complication after total hip arthroplasty. J Arthroplasty. 2007;2(2):166–70.

    Article  Google Scholar 

  19. Byrd JW, Jones KS. Traumatic rupture of ligamentum teres as a source of hip pain. Arthroscopy. 2004;20:385–91.

    Article  PubMed  Google Scholar 

  20. De Haan R, Pattyn C, Gill HS, et al. Correlation between inclination of the acetabular component and metal ion levels in metal-on-metal hip resurfacing replacement. J Bone Joint Surg Br. 2008;90:1291–7.

    Article  PubMed  Google Scholar 

  21. Wettstein M, Jung J, Dienst M. Arthroscopic psoas tenotomy. Arthroscopy. 2006;22:907.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Kaplan Joint Center, 2000 Washington St., Suite 361, Green Bldg, Newton, MA, 02462, USA

    Joseph C. McCarthy MD

  2. Orthopedics, Harris Laboratory, Massachusetts General Hospital, Boston, MA, USA

    Leah Elson BSc

  3. Newton Wellesley Hospital, 2000 Washington St., Green 361, Newton, MA, 02462, USA

    Joann Lee MS

Authors
  1. Joseph C. McCarthy MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Leah Elson BSc
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Joann Lee MS
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Joseph C. McCarthy MD .

Editor information

Editors and Affiliations

  1. Orthopedic Surgery, Hip Joint Arthroplasty, Hip Arthroscopy Massachusetts General Hospital, Boston, Massachusetts, USA

    Joseph C. McCarthy

  2. Institute of Orthopedic Research and Education, Houston, Texas, USA

    Philip C. Noble

  3. Consultant Orthopedic Surgeon Orthopedics, The Villar Bajwa Practice, Spire Cambridge Lea Hospital, Cambridge, United Kingdom

    Richard N. Villar

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer Science+Business Media LLC

About this chapter

Cite this chapter

McCarthy, J.C., Elson, L., Lee, J. (2017). Arthroscopy Following Total Hip Replacement. In: McCarthy, J., Noble, P., Villar, R. (eds) Hip Joint Restoration. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0694-5_83

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-0694-5_83

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-0693-8

  • Online ISBN: 978-1-4614-0694-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation