Basics of hip arthroscopy: Step‐by‐step technique

Abstract

Hip arthroscopy is a surgical procedure that has a technically challenging nature, requiring advanced spatial skills and specialised instrumentation. The most common indication for hip arthroscopy is femoroacetabular impingement, which is increasing due to improved awareness and knowledge of the condition among healthcare professionals. Hip arthroscopy requires many different checkpoints from patient positioning to capsule closure to be successfully completed. Patient positioning is one of the keystones of hip arthroscopy and the probability of a surgeon achieving successful outcomes is significantly influenced by the establishment of optimal access points. The importance of the acetabular labrum and capsule has been better understood in recent years. There has been a noticeable preference towards prioritising acetabular labral repair over debridement or excision. Similarly, consistent with the literature, capsule closure restores naive hip biomechanics more successfully and improves functional outcomes following hip arthroscopy. Osteochondroplasty is a frequently employed therapeutic intervention; yet, attaining optimal osteochondroplasty outcomes might present challenges. The aim is, to restore the full perfect sphericity of the femoral head without attenuation of the head. The aim of this article is to highlight the knowledge accumulated from experiences based on previous hip arthroscopy surgeries as a solution for future troubleshooting steps.Level of Evidence: Level V.

Extended Interportal Capsulotomy for Hip Arthroscopy, a Single-Center Clinical Experience

“…The overall number of hip arthroscopies performed worldwide has surged in the last decade [4,15]. The surge is due not only to the increased familiarity with the technique and the equipment but also to the awareness that pathologies around the hip joint have gained [16,17].…”

“…The number of hip arthroscopy procedures has been increasing each year as more centers and physicians become aware of its advantages and become accustomed to the techniques [1,2]. A series of pathologies, such as labral tears, femoroacetabular impingement syndrome (FAS), arthritis, synovitis, loose bodies, septic arthritis, etc., previously requiring open surgery, are now mainly treated in a less invasive manner with good clinical results and relatively low complication rates [3,4].…”