Systematic Review of Hip Arthroscopy for Femoroacetabular Impingement: The Importance of Labral Repair and Capsular Closure

Riff, Andrew J.; Kunze, Kyle N.; Movassaghi, Kamran; Hijji, Fady Y.; Beck, Edward C.; Harris, Joshua D.; Nho, Shane J.

doi:10.1016/j.arthro.2018.09.005

Cited by 128 publications

(106 citation statements)

References 38 publications

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“…1,2 These procedures aim to reduce pain and improve function in younger, active patients and are highly successful. 3,4 FAIS with labral repair and osteochondroplasty leads to a high patient satisfaction rate and return to sports. [5][6][7][8][9] The success has been attributed to less soft tissue damage and a more rapid recovery.…”

Section: Introductionmentioning

confidence: 99%

Preoperative Predictors of Achieving Clinically Significant Athletic Functional Status After Hip Arthroscopy for Femoroacetabular Impingement at Minimum 2-Year Follow-Up

Stone

Beck

Malloy

et al. 2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Section: Introductionmentioning

confidence: 99%

Preoperative Predictors of Achieving Clinically Significant Athletic Functional Status After Hip Arthroscopy for Femoroacetabular Impingement at Minimum 2-Year Follow-Up

Stone

Beck

Malloy

et al. 2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…In general, I agree with the authors' conclusions as I have reported the importance of saving the labrum in all hips but especially in dysplastic hips. 2 However, in their systematic review, Riff et al 1 included all studies regardless of their levels of evidence. A systematic review pools evidence provided by the included studies.…”

Section: See Related Article On Page 646mentioning

confidence: 99%

“…Riff et al 1 have appropriately acknowledged that there is significant heterogeneity in population, treatment, and outcome. Furthermore, all the literature included in the study is English-language literature.…”

Section: See Related Article On Page 646mentioning

confidence: 99%

“…Traction injury to nerves remains the single most important complication of hip arthroscopy that appears preventable. Riff et al 1 have done an excellent job of identifying some keys to reducing nerve injuries: limiting traction weight and time; using a well-padded perineal post; taking care in checking that the scrotum and labia are free of impingement; and using Trendelenburg positioning, which may reduce the traction force required. In addition, breaking the fluid suction seal early before applying full traction reduces the traction force needed, which may help reduce traction injuries.…”

Section: See Related Article On Page 646mentioning

confidence: 99%

“…The second most important complication is heterotopic ossification. This is caused by tissue trauma and is preventable with technique modifications, as correctly pointed out by Riff et al 1 These 2 complications indicate that the technique of hip arthroscopy needs to be refined further to reduce tissue trauma. This requires well-designed Level I and II studies to supplement high-quality benchtop research.…”

Section: See Related Article On Page 646mentioning

confidence: 99%

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Editorial Commentary: Hip Arthroscopy—The Tissue-Friendly Evolution

Kalore¹

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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The field of hip arthroscopy is saturated with low-level studies. A systematic review of these low-level studies provides low-level evidence favoring tissue-friendly restorative techniques such as labral repair and capsular repair over nonrestorative techniques such as labral debridement and capsulotomy. Iatrogenic complications such as nerve injuries and heterotopic ossification remain the most common complications of hip arthroscopy. This indicates that there is a further scope in improving the safety of hip arthroscopy. There is a need for innovative, well-designed benchtop and high-level clinical studies for rapid advancement in hip arthroscopy techniques.

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Basics of hip arthroscopy: Step‐by‐step technique

Gursoy,

Cirdi,

Kirac

et al. 2024

J. exp. orthop.

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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.

show abstract

Systematic Review of Hip Arthroscopy for Femoroacetabular Impingement: The Importance of Labral Repair and Capsular Closure

Cited by 128 publications

References 38 publications

Preoperative Predictors of Achieving Clinically Significant Athletic Functional Status After Hip Arthroscopy for Femoroacetabular Impingement at Minimum 2-Year Follow-Up

Preoperative Predictors of Achieving Clinically Significant Athletic Functional Status After Hip Arthroscopy for Femoroacetabular Impingement at Minimum 2-Year Follow-Up

Editorial Commentary: Hip Arthroscopy—The Tissue-Friendly Evolution

Basics of hip arthroscopy: Step‐by‐step technique

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