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Complications with Hip Arthroscopy and Open Hip Surgery

Hip Arthroscopy and Hip Joint Preservation Surgery

Abstract

Recognition of femoroacetabular impingement as a potential precursor to hip osteoarthritis has led to the development of both open and arthroscopic hip preservation surgery. Successful short- and midterm clinical outcomes have been reported following hip preservation surgery. Improvements in technique and instrumentation have led to a dramatic increase in the number of surgeons performing hip arthroscopy and the number of cases performed internationally. However, there is a significant learning curve associated with hip arthroscopy. Although the rate of minor complications is low (7.5 %), it is largely related to the learning curve. The two most common minor complications are iatrogenic chondrolabral injury and temporary neuropraxia. Open surgical hip dislocation permits a 360° view of the femoral head and acetabulum but requires a larger incision, greater soft tissue dissection, and a trochanteric osteotomy. Although the rate of minor complications is reportedly higher following open surgical hip dislocation due to the occasional development of painful hardware requiring removal, the rate of major complications is less than 1 % in both open and arthroscopic hip preservation surgery. Thus, both open and arthroscopic hip preservation surgeries appear to be safe. Lack of clarity in reporting complications within orthopedic surgery has spurred academic hip surgeons to adapt and test a general surgery-validated complication reporting system for use in hip preservation.

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Author information

Authors and Affiliations

  1. Houston Methodist Center for Orthopaedics & Sports Medicine, 6550 Fannin Street, Smith Tower, Suite 2500, Houston, TX, 77030, USA

    Dr. Joshua D. Harris M.D.

  2. Minnesota Orthopedic Sports Medicine Institute at Twin Cities Orthopedics, 4010 West 65th Street, Edina, MN, 55435, USA

    Prof. Christopher M. Larson M.D.

  3. Midwest Orthopaedics at Rush, 1611 W. Harrison Street, Suite 300, Chicago, IL, 60612, USA

    Prof. Shane J. Nho M.D., M.S.

Authors
  1. Dr. Joshua D. Harris M.D.
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  2. Prof. Christopher M. Larson M.D.
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  3. Prof. Shane J. Nho M.D., M.S.
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Corresponding author

Correspondence to Joshua D. Harris M.D. .

Editor information

Editors and Affiliations

  1. Dept. of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA

    Shane Nho

  2. Dept. Orthopaedics, Hip Service, Schulthess Clinic, Zurich, Switzerland

    Michael Leunig

  3. Caspary Building, Ground Floor, Center for Hip Pain and Preservation, New York, New York, USA

    Bryan Kelly

  4. Department of Orthopaedics, University of Michigan Domino's Farms Lobby A, Ann Arbor, Michigan, USA

    Asheesh Bedi

  5. Twin Cities Orthopedics - Edina, Edina, Minnesota, USA

    Christopher Larson

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Harris, J.D., Larson, C.M., Nho, S.J. (2014). Complications with Hip Arthroscopy and Open Hip Surgery. In: Nho, S., Leunig, M., Kelly, B., Bedi, A., Larson, C. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7321-3_28-1

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  • DOI: https://doi.org/10.1007/978-1-4614-7321-3_28-1

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  1. Latest

    Complications with Hip Arthroscopy and Open Hip Surgery
    Published:
    04 June 2021

    DOI: https://doi.org/10.1007/978-1-4614-7321-3_28-2

  2. Original

    and Open Hip Surgery
    Published:
    27 February 2014

    DOI: https://doi.org/10.1007/978-1-4614-7321-3_28-1

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