What are the best practices for performance of hip arthroscopy?

Updated: Apr 10, 2019
  • Author: Bart Eastwood, DO; Chief Editor: Dinesh Patel, MD, FACS  more...
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Answer

Because hip arthroscopy is still a relatively new procedure, opinions continue to vary with regard to several aspects of its performance. A 2015 article on best practices surveyed 27 high-volume hip arthroscopists and reported the following results [16] :

  • Position and setup - 100% used the supine position and employed fluoroscopy for initial access
  • Procedures done by the group - Labral repair, 100%; FAI correction, 100%
  • Anchors used - Knotless, 59%; knotted, 30%; both, 11%
  • Capsule closure - Always, 11%; never, 11%; decision based on findings and underlying condition, 78%
  • Postoperative bracing -  Routine, 29.6%; in some cases, 29.6%; never, 40.7%; average time of bracing, 3.4 weeks
  • Weightbearing after the procedure - 92.5% limited weightbearing after surgery for a mean of 2.1 weeks
  • Postoperative intra-articular injections - Local anesthetic, 55.6%; platelet-rich plasma (PRP), 7.5%; nothing, 37% 
  • Heterotopic ossification prophylaxis - 100% prescribed some form of prophylaxis for 3 weeks after the procedure, either a nonsteroidal anti-inflammatory drug (NSAID; 89%) or aspirin (11%)

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