Skip to main content

Advertisement

SpringerLink
Log in

Komplikationen bei arthroskopischen Hüftoperationen

Complications of hip arthroscopies

  • Leitthema
  • Published:
Der Orthopäde Aims and scope Submit manuscript

Zusammenfassung

In der Hand des erfahrenen Operateurs ist das Komplikationsrisiko arthroskopischer Hüftoperationen klein. Beim unerfahrenen Arthroskopeur, aber auch in besonderen Situationen wie geringer Distraktion von Femurkopf und Gelenkpfanne und technisch anspruchsvollen Eingriffen steigt das Risiko. Der vorliegende Beitrag stellt mögliche Läsionen im Bereich der Weichteile im Portalgebiet, Genitalbereich und Fuß, intraartikuläre Knorpel- und Labrumverletzungen, direkte und traktionsbedingte indirekte neurovaskuläre Läsionen und andere, seltenere Komplikationen zusammen. Potentielle Ursachen während Lagerung und Traktion, Portalanlage und diagnostischen und therapeutischen Hüftarthroskopien werden diskutiert.

Abstract

Surgical complications of hip arthroscopies are rare in the hands of experienced hip arthroscopists. However, when performed by beginners and in more demanding situations such as marginal distraction of the head and socket and technically advanced procedures, the risk increases. This report describes possible complications which may happen during positioning and traction, portal placement, and diagnostic and therapeutic procedures. Possible causes of soft tissue lesions of the portal area, perineum and foot, intra-articular lesions of the labrum and cartilage, direct and traction-related indirect neurovascular lesions, and other rare complications are analyzed.

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5

Literatur

  1. Bartlett CS, DiFelice GS, Buly R et al. (1998) Cardiac arrest as a result of intraabdomial extravasation of fluid during arthroscopic removal of a loose body from the hip joint of a patient with an acetabular fracture. J Orthop Trauma 12: 294–300

    Article  PubMed  CAS  Google Scholar 

  2. Burman MS (1931) Arthroscopy or the direct visualization of joints. An experimental cadaver study. J Bone Joint Surg 13: 669–695

    Google Scholar 

  3. Byrd JWT (1994) Hip arthroscopy utilizing the supine position. Arthroscopy 10: 275–280

    PubMed  CAS  Google Scholar 

  4. Byrd JWT (1998) Arthroscopy of select hip lesions. In: Byrd JWT (ed) Operative hip arthroscopy. Thieme, Stuttgart New York, pp 153–171

  5. Byrd JWT (1998) Complications associated with hip arthroscopy. In: Byrd JWT (ed) Operative hip arthroscopy. Thieme, Stuttgart New York, pp 171–176

  6. Byrd JWT (2000) Avoiding the labrum in hip arthroscopy. Arthroscopy 16: 770–773

    PubMed  CAS  Google Scholar 

  7. Byrd JWT, Pappas JN, Pedley MJ (1995) Hip arthroscopy: An anatomic study of portal placement and relationship to the extra-articular structures. Arthroscopy 11: 418–423

    PubMed  CAS  Google Scholar 

  8. Clarke MT, Villar RN (2003) Hip arthroscopy: Complications in 1054 cases. Clin Orthop 406: 84–88

    Article  PubMed  Google Scholar 

  9. Dienst M, Kohn D (2001) Hüftarthroskopie – Minimal-invasive Diagnostik und Therapie des erkrankten oder verletzten Hüftgelenks. Unfallchirurg 104: 2–18

    Article  PubMed  CAS  Google Scholar 

  10. Dienst M, Seil R, Gödde S et al. (2002) Effects of traction, distension and joint position on distraction of the hip joint: an experimental study in cadavers. Arthroscopy 18: 865–871

    PubMed  Google Scholar 

  11. Dienst M, Seil R, Kohn D (2005) Safe arthroscopic access to the central compartment of the hip. Arthroscopy 21: 1510–1514

    PubMed  Google Scholar 

  12. Edwards DJ, Lomas D, Villar RN (1995) Diagnosis of the painful hip by magnetic resonance imaging and arthroscopy. J Bone Joint Surg Br 77: 374–376

    PubMed  CAS  Google Scholar 

  13. Eriksson E, Arvidsson I, Arvidsson H (1986) Diagnostic and operative arthroscopy of the hip. Orthopedics 9: 169–176

    PubMed  CAS  Google Scholar 

  14. Funke E, Munzinger U (1994) Zur Indikation und Technik der Hüftarthroskopie: Möglichkeiten und Grenzen. Schweiz Rundschau Med (PRAXIS) 83: 154–157

    Google Scholar 

  15. Funke EL, Munzinger U (1996) Complications in hip arthroscopy. Arthroscopy 12: 156–159

    PubMed  CAS  Google Scholar 

  16. Glick JM, Sampson TG (1996) Hip arthroscopy by the lateral approach. Lippincott-Raven, Philadelphia, pp 1079–1089

  17. Glick JM (1990) Complications of hip arthroscopy by the lateral approach. In: Sherman OH, Minkoff J (eds) Arthroscopic surgery. Williams & Wilkins, Baltimore, pp 193–201

  18. Gray AJR, Villar RN (1997) The ligame tum teres of the hip: An arthroscopic classification of its pathology. Arthroscopy 13: 575–578

    Article  PubMed  CAS  Google Scholar 

  19. Griffin DR, Villar RN (1999) Complications of arthroscopy of the hip. J Bone Joint Surg Br 81: 604–606

    Article  PubMed  CAS  Google Scholar 

  20. Schindler A, Lechevallier JJC, Rao NS, Bowen JR (1995) Diagnostic and therapeutic arthroscopy of the hip in children and adolescents: evaluation of results. J Ped Orthop 15: 317–321

    CAS  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor weist auf folgende Beziehung hin: Beratung und Instrumentenentwicklung Fa. Karl Storz. Trotz des möglichen Interessenkonflikts ist der Beitrag unabhängig und produktneutral.

Author information

Authors and Affiliations

  1. Klinik für Orthopädie und Orthopädische Chirurgie, Universitätsklinikum des Saarlandes, Kirrberger Straße, 66421, Homburg/Saar, Deutschland

    M. Dienst & U. Grün

Authors
  1. M. Dienst
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. U. Grün
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. Dienst.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dienst, M., Grün, U. Komplikationen bei arthroskopischen Hüftoperationen. Orthopäde 37, 1108–1115 (2008). https://doi.org/10.1007/s00132-008-1304-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00132-008-1304-7

Schlüsselwörter

Keywords

Search

Navigation