Skip to main content
SpringerLink
Log in
Book cover

ESSKA Instructional Course Lecture Book pp 39–41Cite as

How to Avoid Complications in Hip Arthroscopy

  • Chapter
  • First Online:

  • 1375 Accesses

Abstract

Complications in hip arthroscopy are relatively rare, particularly major complications. Reported complications are breakage of instruments, cartilage and labral injuries, instability, nerve injuries, femoral neck fractures, infections, heterotopic ossification (HO), and thromboembolic events. Proper surgical technique with safe access to the joint, the use of image intensifier and a shortest possible tractions time are important factors to reduce the complication risk. The use of prophylactic antibiotics, DVT prophylaxis and HO prophylaxis (NSAIDS) should be considered. Patients must be well informed about possible complications and the expected outcome.

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

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Nakano N, Lisenda L, Jones TL, Loveday DT, Khanduja V. Complications following arthroscopic surgery of the hip: a systematic review of 36 761 cases. Bone Joint J. 2017;99-B(12):1577–83.

    Article  CAS  Google Scholar 

  2. Truntzer JN, Hoppe DJ, Shapiro LM, Abrams GD, Safran M. Complication rates for hip arthroscopy are underestimated: a population-based study. Arthroscopy. 2017;33(6):1194–201.

    Article  Google Scholar 

  3. Dippmann C, Thorborg K, Kraemer O, Winge S, Hölmich P. Symptoms of nerve dysfunction after hip arthroscopy: an under-reported complication? Arthroscopy. 2014;30(2):202–7.

    Article  Google Scholar 

  4. Sansone M, Ahldén M, Jónasson P, Swärd L, Eriksson T, Karlsson J. Total dislocation of the hip joint after arthroscopy and iliopsoas tenotomy. Knee Surg Sports Traumatol Arthrosc. 2013;21(2):420–3.

    Article  Google Scholar 

  5. Habib A, Haldane CE, Ekhtiari S, de Sa D, Simunovic N, Belzile EL, Ayeni OR. Pudendal nerve injury is a relatively common but transient complication of hip arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2018;26(3):969–75.

    Article  Google Scholar 

  6. Lall AC, Saadat AA, Battaglia MR, Maldonado DR, Perets I, Domb BG. Perineal pressure during hip arthroscopy is reduced by use of trendelenburg: a prospective study with randomized order of positioning. Clin Orthop Relat Res. 2019;477(8):1851–7.

    Article  Google Scholar 

  7. Kollmorgen RC, Ellis T, Lewis BD, Harris JD. Achieving post-free distraction in hip arthroscopy with a pink pad patient positioning device using standard hip distraction tables. Arthrosc Tech. 2019;8(4):e363–8.

    Article  Google Scholar 

  8. Salas AP, Mazek J, Araujo-Reyes D, Gonzalez-Campos M, Castillo-Trevizo A, Garcia JM. The tutankhamun technique in hip arthroscopy. Arthrosc Tech. 2018;7(11):e1167–71.

    Article  Google Scholar 

  9. Horner NS, Vikas K, MacDonald AE, Naendrup JH, Simunovic N, Ayeni OR. Femoral neck fractures as a complication of hip arthroscopy: a systematic review. J Hip Preserv Surg. 2017;4(1):9–17.

    PubMed  PubMed Central  Google Scholar 

  10. Harris JD, McCormick FM, Abrams GD, Gupta AK, Ellis TJ, Bach BR Jr, Bush-Joseph CA, Nho SJ. Complications and reoperations during and after hip arthroscopy: a systematic review of 92 studies and more than 6,000 patients. Arthroscopy. 2013;29(3):589–95.

    Article  Google Scholar 

  11. Wang D, Camp CL, Ranawat AS, Coleman SH, Kelly BT, Werner BC. The timing of hip arthroscopy after intra-articular hip injection affects postoperative infection risk. Arthroscopy. 2017;33(11):1988–94.

    PubMed  Google Scholar 

  12. Randelli F, Pierannunzii L, Banci L, Ragone V, Aliprandi A, Buly R. Heterotopic ossifications after arthroscopic management of femoroacetabular impingement: the role of NSAID prophylaxis. J Orthop Traumatol. 2010;11(4):245–50.

    Article  Google Scholar 

  13. Kurz AZ, LeRoux E, Riediger M, Coughlin R, Simunovic N, Duong A, Laskovski JR, Ayeni OR. Heterotopic ossification in hip arthroscopy: an updated review. Curr Rev Musculoskelet Med. 2019;12(2):147–55.

    Article  Google Scholar 

  14. Beckmann JT, Wylie JD, Potter MQ, Maak TG, Greene TH, Aoki SK. Effect of naproxen prophylaxis on heterotopic ossification following hip arthroscopy: a double-blind randomized placebo-controlled trial. J Bone Joint Surg Am. 2015;97(24):2032–7.

    Article  Google Scholar 

  15. Haldane CE, Ekhtiari S, de Sa D, Simunovic N, Safran M, Randelli F, Duong A, Farrokhyar F, Ayeni OR. Venous thromboembolism events after hip arthroscopy: a systematic review. Arthroscopy. 2018;34(1):321–30.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Oslo University Hospital, Oslo, Norway

    Sverre Løken

  2. McMaster University, Hamilton, ON, Canada

    Olufemi R. Ayeni

Authors
  1. Sverre Løken
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Olufemi R. Ayeni
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sverre Løken .

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Bruderholz, Basel Land, Switzerland

    Michael Tobias Hirschmann

  2. Center of Functional and Biological Reconstruction of the Knee, Humanitas University, Humanitas Research Hospital, Milan, Italy

    Elizaveta Kon

  3. Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden

    Kristian Samuelsson

  4. Istituto Ortopedico Galeazzi, Milano, Italy

    Matteo Denti

  5. Department of Orthopaedics, Lyon Ortho Clinic, LYON, France

    David Dejour

Rights and permissions

Reprints and permissions

Copyright information

© 2020 ESSKA

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Løken, S., Ayeni, O.R. (2020). How to Avoid Complications in Hip Arthroscopy. In: Hirschmann, M., Kon, E., Samuelsson, K., Denti, M., Dejour, D. (eds) ESSKA Instructional Course Lecture Book . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61264-4_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-61264-4_6

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-61263-7

  • Online ISBN: 978-3-662-61264-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation