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Complications with Hip Arthroscopy and Open Hip Surgery

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Hip Arthroscopy and Hip Joint Preservation Surgery

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Abstract

Recognition of femoroacetabular impingement as a potential precursor to hip osteoarthritis has led to the development of hip preservation surgery techniques through both open and arthroscopic approaches. 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 (4.2–7.9%), it is largely related to the learning curve. The two most common minor complications are iatrogenic chondrolabral injury and temporary neuropraxia. Although the rate of minor complications is reportedly higher following open surgical hip dislocation, 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 and Sports Medicine, Houston, TX, USA

    Joshua D. Harris

  2. Rush University Medical Center, Chicago, IL, USA

    Joshua D. Harris

  3. Minnesota Orthopedic Sports Medicine Institute, Twin Cities Orthopedics, Edina, MN, USA

    Christopher M. Larson

  4. Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA

    Alexander C. Newhouse & Shane J. Nho

  5. Midwest Orthopaedics at Rush, Hip Preservation Center, Rush University Medical Center, Chicago, IL, USA

    Alexander C. Newhouse & Shane J. Nho

Authors
  1. Joshua D. Harris
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  2. Christopher M. Larson
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  3. Alexander C. Newhouse
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  4. Shane J. Nho
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Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA

    Shane J. Nho

  2. Department of Orthopedic Surgery, University of Michigan, Ann Arbor, MI, USA

    Bedi Asheesh

  3. Department of Orthopedic Surgery, Case Western Reserve University, Cleveland, OH, USA

    Michael J. Salata

  4. Department of Orthopedic Surgery, Duke Medical Center, Durham, NC, USA

    Richard C. Mather III

  5. Department of Orthopedic Surgery, Weill Medical College of Cornell Univers, New York, NY, USA

    Bryan T. Kelly

Section Editor information

  1. No affiliation provided

    Allston J. Stubbs

  2. No affiliation provided

    Edward C. Beck

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Harris, J.D., Larson, C.M., Newhouse, A.C., Nho, S.J. (2021). Complications with Hip Arthroscopy and Open Hip Surgery. In: Nho, S.J., Asheesh, B., Salata, M.J., Mather III, R.C., Kelly, B.T. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7321-3_28-2

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

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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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