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Approach to the Failed Hip Surgery

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Hip Arthroscopy and Hip Joint Preservation Surgery

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Abstract

The recent recognition of femoroacetabular impingement (FAI) has coincided with technological advances to contribute to the increase in the annual volume of hip arthroscopy. Although hip arthroscopy has the potential to provide clinical improvements and a reduction in pain, up to 10% of patients require subsequent procedures due to continued symptoms or persistent pain. The workup of these patients following failed hip arthroscopy includes a thorough history, physical examination, and imaging as appropriate. Although there are many etiologies of recalcitrant symptoms after hip surgery, the causes may be broadly categorized as follows: surgical indication, patient-specific factors, rehabilitation-related factors, or technical considerations. After determining the specific cause of continued symptoms, these patients may be managed with nonoperative treatments, revision hip arthroscopy, hip resurfacing, or total hip arthroplasty (THA). This chapter provides an outline of the diagnosis, causes, and management of patients with failed hip arthroscopy.

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Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA

    Heather S. Haeberle

  2. Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, OH, USA

    Prem N. Ramkumar

  3. Department of Orthopedic Surgery, Henry Ford Health System and School of Medicine, Wayne State University, Detroit, MI, USA

    Eric C. Makhni

Authors
  1. Heather S. Haeberle
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  2. Prem N. Ramkumar
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  3. Eric C. Makhni
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Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, Division of Sports Medicine, Section of Young Adult Hip Surgery, Rush University Medical Center, Chicago, IL, USA

    Shane J. Nho

  2. Sports Medicine and Shoulder Service, Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA

    Asheesh Bedi

  3. Department of Orthopaedic Surgery, Joint Preservation and Cartilage Restoration Center, University Hospitals Case Medical Center, Cleveland, OH, USA

    Michael J. Salata

  4. Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA

    Richard C. Mather III

  5. Department of Orthopaedic Surgery, Sports Medicine and Shoulder Service, Center for Hip Preservation Surgery Weill Medical College of Cornell University, Hospital for Special Surgery, New York, NY, USA

    Bryan T. Kelly

Section Editor information

  1. Center for Hip Preservation Surgery, Hospital for Special Surgery, New York, NY, USA

    Benedict U. Nwachukwu

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Haeberle, H.S., Ramkumar, P.N., Makhni, E.C. (2022). Approach to the Failed Hip Surgery. In: Nho, S.J., Bedi, A., Salata, M.J., Mather III, R.C., Kelly, B.T. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-43240-9_134

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  • DOI: https://doi.org/10.1007/978-3-030-43240-9_134

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