Skip to main content

Advertisement

SpringerLink
Log in

Complications following hip arthroscopy: a systematic review and meta-analysis

  • Hip
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The use of hip arthroscopy to address injuries and conditions about the hip is becoming more widespread. There are several narrative reviews regarding complications of hip arthroscopy but a systematic review is currently lacking. The primary goal of this study is to determine the complication rate associated with hip arthroscopy in the literature.

Methods

A search of the EMBASE and Ovid Medline databases was performed to identify articles published between 1 January 2000 and 25 November 2011 that reported a complication rate after hip arthroscopy. Appropriate inclusion and exclusion criteria were applied to identify articles, and a meta-analysis was performed to determine an overall complication rate. Complications were divided into major and minor.

Results

A total of 66 papers (n = 6,962 hip arthroscopies) were identified and deemed appropriate for analysis. The overall complication rate was found to be 4.0 % (95 % CI 2.9–5.2 %). Of the 287 complications identified in the literature, 20 were deemed major constituting a rate of 0.3 %.

Conclusions

Hip arthroscopy appears to be safe. The vast majority of complications are minor in nature. Prospective trials looking at the complications of hip arthroscopy would aid in identifying prognostic factors.

Level of evidence

Systematic review and meta-analysis, Level III.

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

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

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

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Anderson SA, Keene JS (2008) Results of arthroscopic iliopsoas tendon release in competitive and recreational athletes. Am J Sports Med 36:2363–2371

    Article  PubMed  Google Scholar 

  2. Awan N, Murray P (2006) Role of hip arthroscopy in the diagnosis and treatment of hip joint pathology. Arthroscopy 22:215–218

    Article  PubMed  Google Scholar 

  3. Badylak JS, Keene JS (2011) Do iatrogenic punctures of the labrum affect the clinical results of hip arthroscopy? Arthroscopy 27:761–767

    Article  PubMed  Google Scholar 

  4. Baker CL Jr, Massie RV, Hurt WG, Savory CG (2007) Arthroscopic bursectomy for recalcitrant trochanteric bursitis. Arthroscopy 23:827–832

    Article  PubMed  Google Scholar 

  5. Bardakos NV, Vasconcelos JC, Villar RN (2008) Early outcome of hip arthroscopy for femoroacetabular impingement: the role of femoral osteoplasty in symptomatic improvement. J Bone Jt Surg Br 90:1570–1575

    Article  CAS  Google Scholar 

  6. Beck M (2009) Groin pain after open FAI surgery: the role of intraarticular adhesions. Clin Orthop Relat Res 467:769–774

    Article  PubMed  Google Scholar 

  7. Bellotti V, Erquicia JI, Tey M (2011) Hip arthroscopy learning curve. J Orthop Traumatol 12:S52

    Google Scholar 

  8. Berend KR, Vail TP (2001) Hip arthroscopy in the adolescent and pediatric athlete. Clin Sports Med 20:763–778

    Article  PubMed  CAS  Google Scholar 

  9. Bhandari M, Richards RR, Sprague S, Schemitsch EH (2002) The quality of reporting of randomized trials in the Journal of Bone and Joint Surgery from 1988 through 2000. J Bone Jt Surg Am 84:388–396

    Article  Google Scholar 

  10. Botser IB, Smith TW Jr, Nasser R, Domb BG (2011) Open surgical dislocation versus arthroscopy for femoroacetabular impingement: a comparison of clinical outcomes. Arthroscopy 27:270–278

    Article  PubMed  Google Scholar 

  11. Boyer T, Dorfmann H (2008) Arthroscopy in primary synovial chondromatosis of the hip: description and outcome of treatment. J Bone Jt Surg Br 90:314–318

    CAS  Google Scholar 

  12. Brunner A, Horisberger M, Herzog RF (2009) Evaluation of a computed tomography-based navigation system prototype for hip arthroscopy in the treatment of femoroacetabular cam impingement. Arthroscopy 25:382–391

    Article  PubMed  Google Scholar 

  13. Burman M (1931) Arthroscopy or the direct visualization of joints an experimental cadaver. J Bone Jt Surg 13:669–695

    Google Scholar 

  14. Byrd JW (2001) Hip arthroscopy. The supine position. Clin Sports Med 20:703–731

    Article  PubMed  CAS  Google Scholar 

  15. Byrd JW (2006) Hip arthroscopy. J Am Acad Orthop Surg 14:433–444

    PubMed  Google Scholar 

  16. Byrd JW, Jones KS (2001) Hip arthroscopy in athletes. Clin Sports Med 20:749–761

    Article  PubMed  CAS  Google Scholar 

  17. Byrd JW, Jones KS (2009) Arthroscopic femoroplasty in the management of cam-type femoroacetabular impingement. Clin Orthop Relat Res 467:739–746

    Article  PubMed  Google Scholar 

  18. Byrd JW, Jones KS (2009) Hip arthroscopy for labral pathology: prospective analysis with 10-year follow-up. Arthroscopy 25:365–368

    Article  PubMed  Google Scholar 

  19. Byrd JW, Jones KS (2009) Hip arthroscopy in athletes: 10-year follow-up. Am J Sports Med 37:2140–2143

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  21. Byrd JWT, Jones KS (2000) Prospective analysis of hip arthroscopy with 2-year follow-up. Arthroscopy 16:578–587

    Article  PubMed  CAS  Google Scholar 

  22. Byrd JWT, Jones KS (2003) Hip arthroscopy in the presence of dysplasia. Arthroscopy 19:1055–1060

    Article  PubMed  Google Scholar 

  23. Byrd JWT, Jones KS (2010) Prospective analysis of hip arthroscopy with 10-year followup. Clin Orthop Relat Res 468:741–746

    Article  PubMed  Google Scholar 

  24. Byrd JWT, Jones KS (2011) Arthroscopic management of femoroacetabular impingement: minimum 2-year follow-up. Arthroscopy 27:1379–1388

    Article  PubMed  Google Scholar 

  25. Clarke MT, Arora A, Villar RN (2003) Hip arthroscopy: complications in 1054 cases. Clin Orthop Relat Res 406:84–88

    Article  PubMed  Google Scholar 

  26. El-Sayed AM (2008) Treatment of early septic arthritis of the hip in children: comparison of results of open arthrotomy versus arthroscopic drainage. J Child Orthop 2:229–237

    Article  PubMed  Google Scholar 

  27. Flecher X, Dumas J, Argenson JN (2011) Is a hip distractor useful in the arthroscopic treatment of femoroacetabular impingement? Orthop Traumatol Surg Res 97:381–388

    Article  PubMed  CAS  Google Scholar 

  28. Gedouin JE, Duperron D, Langlais F, Thomazeau H (2010) Update to femoroacetabular impingement arthroscopic management. Orthop Traumatol Surg Res 96:222–227

    Article  PubMed  Google Scholar 

  29. Gedouin JE, May O, Bonin N, Nogier A, Boyer T, Sadri H, Villar RN, Laude F, French Arthroscopy Society (2010) Assessment of arthroscopic management of femoroacetabular impingement. A prospective multicenter study. Orthop Traumatol Surg Res 96:S59–S67

    Article  PubMed  Google Scholar 

  30. Greenbaum JN, Bornstein LJ, Lyman S, Alexiades MM, Westrich GH (2011) The validity of self-report as a technique for measuring short-term complications after total hip arthroplasty in a joint replacement registry. J Arthroplast. doi:10.1016/j.arth.2011.10.031

    Google Scholar 

  31. Haviv B, O’Donnell J (2010) Arthroscopic treatment for symptomatic bilateral cam-type femoroacetabular impingement. Orthopedics 33:874

    PubMed  Google Scholar 

  32. Haviv B, Singh PJ, Takla A, O’Donnell J (2010) Arthroscopic femoral osteochondroplasty for cam lesions with isolated acetabular chondral damage. J Bone Jt Surg Br 92:629–633

    Article  CAS  Google Scholar 

  33. Horisberger M, Brunner A, Herzog RF (2010) Arthroscopic treatment of femoroacetabular impingement of the hip: a new technique to access the joint. Clin Orthop Relat Res 468:182–190

    Article  PubMed  Google Scholar 

  34. Ilizaliturri VM Jr, Chaidez C, Villegas P, Briseno A, Camacho-Galindo J (2009) Prospective randomized study of 2 different techniques for endoscopic iliopsoas tendon release in the treatment of internal snapping hip syndrome. Arthroscopy 25:159–163

    Article  PubMed  Google Scholar 

  35. Ilizaliturri VM Jr, Martinez-Escalante FA, Chaidez PA, Camacho-Galindo J (2006) Endoscopic iliotibial band release for external snapping hip syndrome. Arthroscopy 22:505–510

    Article  PubMed  Google Scholar 

  36. Ilizaliturri VM Jr, Gonzalez-Gutierrez B, Gonzalez-Ugalde H, Camacho-Galindo J (2011) Hip arthroscopy after traumatic hip dislocation. Am J Sports Med 39:50S–57S

    Article  PubMed  Google Scholar 

  37. Ilizaliturri VM Jr, Nossa-Barrera JM, Acosta-Rodriguez E, Camacho-Galindo J (2007) Arthroscopic treatment of femoroacetabular impingement secondary to paediatric hip disorders. J Bone Jt Surg Br 89:1025–1030

    Google Scholar 

  38. Ilizaliturri VM Jr, Orozco-Rodriguez L, Acosta-Rodriguez E, Camacho-Galindo J (2008) Arthroscopic treatment of cam-type femoroacetabular impingement: preliminary report at 2 years minimum follow-up. J Arthroplast 23:226–234

    Article  Google Scholar 

  39. Javed A, O’Donnell JM (2011) Arthroscopic femoral osteochondroplasty for cam femoroacetabular impingement in patients over 60 years of age. J Bone Jt Surg Br 93:326–331

    CAS  Google Scholar 

  40. Jerosch J, Schunck J, Khoja A (2006) Arthroscopic treatment of the hip in early and midstage degenerative joint disease. Knee Surg Sports Traumatol Arthrosc 14:641–645

    Article  PubMed  CAS  Google Scholar 

  41. Kim SJ, Choi NH, Ko SH, Linton JA, Park HW (2003) Arthroscopic treatment of septic arthritis of the hip. Clin Orthop Relat Res 407:211–214

    Article  PubMed  Google Scholar 

  42. Kitano T, Imai Y, Morita M, Nakagawa K, Wada M, Sakai T, Eguchi Y, Kuroda T (2010) New treatment method for developmental dysplasia of the hips after walking age: arthroscopic reduction with limboplasty based on the findings of preoperative imaging. J Orthop Sci 15:443–451

    Article  PubMed  Google Scholar 

  43. Kocher MS, Lee B (2006) Hip arthroscopy in children and adolescents. Orthop Clin North Am 37:233–240

    Article  PubMed  Google Scholar 

  44. Konan S, Rhee SJ, Haddad FS (2011) Hip arthroscopy: analysis of a single surgeon’s learning experience. J Bone Jt Surg Am 93(Suppl. 2):52–56

    Article  Google Scholar 

  45. Krueger A, Leunig M, Siebenrock KA, Beck M (2007) Hip arthroscopy after previous surgical hip dislocation for femoroacetabular impingement. Arthroscopy 23:1285–1289

    Article  PubMed  Google Scholar 

  46. Larson CM, Giveans MR (2009) Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement. Arthroscopy 25:369–376

    Article  PubMed  Google Scholar 

  47. Larson CM, Giveans MR, Taylor M (2011) Does arthroscopic FAI correction improve function with radiographic arthritis? Clin Orthop Relat Res 469:1667–1676

    Article  PubMed  Google Scholar 

  48. Larson CM, Pierce BR, Giveans MR (2011) Treatment of athletes with symptomatic intra-articular hip pathology and athletic pubalgia/sports hernia: a case series. Arthroscopy 27:768–775

    Article  PubMed  Google Scholar 

  49. Liu YJ, Wang Y, Xue J, Lui PPY, Chan KM (2009) Arthroscopic gluteal muscle contracture release with radiofrequency energy. Clin Orthop Relat Res 467:799–804

    Article  PubMed  Google Scholar 

  50. Lo YP, Chan YS, Lien LC, Lee MS, Hsu KY, Shih CH (2006) Complications of hip arthroscopy: analysis of seventy three cases. Chang Gung Med J 29:86–92

    PubMed  Google Scholar 

  51. Londers J, Van Melkebeek J (2007) Hip arthroscopy: outcome and patient satisfaction after 5 to 10 years. Acta Orthop Belg 73:478–483

    PubMed  Google Scholar 

  52. Majewski M, Hasler CC, Kohler G (2010) Arthroscopic mobilization of the hip joint in children with aseptic necrosis of the femur head. J Pediatr Orthop B 19:135–139

    Article  PubMed  Google Scholar 

  53. Marchie A, Panuncialman I, McCarthy JC (2011) Efficacy of hip arthroscopy in the management of synovial chondromatosis. Am J Sports Med 39:126S–131S

    Article  PubMed  Google Scholar 

  54. Martin HD, Shears SA, Johnson JC, Smathers AM, Palmer IJ (2011) The endoscopic treatment of sciatic nerve entrapment/deep gluteal syndrome. Arthroscopy 27:172–181

    Article  PubMed  Google Scholar 

  55. McCarthy J, Barsoum W, Puri L, Lee JA, Murphy S, Cooke P (2003) The role of hip arthroscopy in the elite athlete. Clin Orthop Relat Res 406:71–74

    Article  PubMed  Google Scholar 

  56. Comfort C, Jablokow A (2009) Hip arthroscopy procedures to soar through 2013. In: New & events. Millennium Research Group. http://mrg.net/News-and-Events/Press-Releases/HIP-ARTHROSCOPY-PROCEDURES-TO-SOAR-THROUGH-2013.aspx

  57. Mullis BH, Dahners LE (2006) Hip arthroscopy to remove loose bodies after traumatic dislocation. J Orthop Trauma 20:22–26

    Article  PubMed  Google Scholar 

  58. Nwachukwu BU, McFeely ED, Nasreddine AY, Krcik JA, Frank J, Kocher MS (2011) Complications of hip arthroscopy in children and adolescents. J Pediatr Orthop 31:227–231

    Article  PubMed  Google Scholar 

  59. O’Leary JA, Berend K, Vail TP (2001) The relationship between diagnosis and outcome in arthroscopy of the hip. Arthroscopy 17:181–188

    Article  PubMed  Google Scholar 

  60. Philippon M, Schenker M, Briggs K, Kuppersmith D (2007) Femoroacetabular impingement in 45 professional athletes: associated pathologies and return to sport following arthroscopic decompression. Knee Surg Sports Traumatol Arthrosc 15:908–914

    Article  PubMed  Google Scholar 

  61. Philippon MJ, Briggs KK, Hay CJ, Kuppersmith DA, Dewing CB, Huang MJ (2010) Arthroscopic labral reconstruction in the hip using iliotibial band autograft: technique and early outcomes. Arthroscopy 26:750–756

    Article  PubMed  Google Scholar 

  62. Philippon MJ, Briggs KK, Yen YM, Kuppersmith DA (2009) Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction: minimum two-year follow-up. J Bone Jt Surg Br 91:16–23

    CAS  Google Scholar 

  63. Philippon MJ, Yen YM, Briggs KK, Kuppersmith DA, Maxwell RB (2008) Early outcomes after hip arthroscopy for femoroacetabular impingement in the athletic adolescent patient: a preliminary report. J Pediatr Orthop 28:705–710

    Article  PubMed  Google Scholar 

  64. Randelli F, Pierannunzii L, Banci L, Ragone V, Aliprandi A, Buly R (2010) Heterotopic ossifications after arthroscopic management of femoroacetabular impingement: the role of NSAID prophylaxis. J Orthop Traumatol 11:245–250

    Article  PubMed  Google Scholar 

  65. Salvo JP, Troxell CR, Duggan DP (2010) Incidence of venous thromboembolic disease following hip arthroscopy. Orthopedics 33:664

    PubMed  Google Scholar 

  66. Sampson TG (2001) Complications of hip arthroscopy. Clin Sports Med 20:831–835

    Article  PubMed  CAS  Google Scholar 

  67. Sampson TG (2005) Complications of hip arthroscopy. Tech Orthop 20:63–66

    Article  Google Scholar 

  68. Shetty VD, Villar RN (2007) Hip arthroscopy: current concepts and review of literature. Br J Sports Med 41:64–68

    Article  PubMed  Google Scholar 

  69. Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J (2003) Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg 73:712–716

    Article  PubMed  Google Scholar 

  70. Souza BGSE, Dani WS, Honda EK, Ricioli W Jr, Guimaraes RP, Ono NK, Polesello GC (2010) Do complications in hip arthroscopy change with experience? Arthroscopy 26:1053–1057

    Article  PubMed  Google Scholar 

  71. Stahelin L, Stahelin T, Jolles BM, Herzog RF (2008) Arthroscopic offset restoration in femoroacetabular cam impingement: accuracy and early clinical outcome. Arthroscopy 24:51–57

    PubMed  Google Scholar 

  72. Stevens MS, Legay DA, Glazebrook MA, Amirault D (2010) The evidence for hip arthroscopy: grading the current indications. Arthroscopy 26:1370–1383

    Article  PubMed  Google Scholar 

  73. Streich NA, Gotterbarm T, Barie A, Schmitt H (2009) Prognostic value of chondral defects on the outcome after arthroscopic treatment of acetabular labral tears. Knee Surg Sports Traumatol Arthrosc 17:1257–1263

    Article  PubMed  Google Scholar 

  74. Voos JE, Shindle MK, Pruett A, Asnis PD, Kelly BT (2009) Endoscopic repair of gluteus medius tendon tears of the hip. Am J Sports Med 37:743–747

    Article  PubMed  Google Scholar 

  75. Walton NP, Jahromi I, Lewis PL (2004) Chondral degeneration and therapeutic hip arthroscopy. Int Orthop 28:354–356

    PubMed  CAS  Google Scholar 

  76. Wiese M, Rubenthaler F, Willburger RE, Fennes S, Haaker R (2004) Early results of endoscopic trochanter bursectomy. Int Orthop 28:218–221

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Orthopaedic Surgery, Department of Surgery, McMaster University, 1200 Main Street West, Hamilton, ON, Canada

    M. Kowalczuk, M. Bhandari, F. Farrokhyar, I. Wong, M. Chahal, S. Neely & O. R. Ayeni

  2. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada

    M. Bhandari & F. Farrokhyar

  3. Division of Orthopaedic Surgery, University of Toronto, Toronto, ON, Canada

    R. Gandhi

Authors
  1. M. Kowalczuk
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Bhandari
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. F. Farrokhyar
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. I. Wong
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. M. Chahal
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. S. Neely
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. R. Gandhi
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. O. R. Ayeni
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to O. R. Ayeni.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kowalczuk, M., Bhandari, M., Farrokhyar, F. et al. Complications following hip arthroscopy: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc 21, 1669–1675 (2013). https://doi.org/10.1007/s00167-012-2184-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-012-2184-2

Keywords

Search

Navigation