What are the possible complications of hip arthroscopy?

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

In a prospective multicenter study by Larson et al, complication data were compiled for 1026 hip arthroscopies (including both revision and primary procedures). [28]  The overall complication rate, not counting transient nerve issues, was 6.9%. Rates for specific complications included the following:

  • Periportal sensory disturbance, 18.6% (mostly transient)
  • Iatrogenic chondral injury, 1.9%
  • Iatrogenic labral puncture, 1.1%
  • Foot sensory defect, 0.9%
  • Perineal numbness, 0.9%
  • Superficial portal infection, 0.6%
  • Heterotopic ossification, 0.4%
  • Deep vein thrombosis (DVT). 0.3%
  • Wound hematoma, 0.2%
  • Pulmonary embolism (PE), 0.1%
  • Reflex sympathetic dystrophy (RSD), 0.1%
  • Skin-related traction issues, 0.1%

Serious complications have been reported in the literature, including avascular necrosis (AVN), abdominal compartment syndrome, femoral neck fracture, and iatrogenic instability [29, 30] ; however, these were not observed in the study by Larson et al. [28]


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