| Hot Topics in Joint Preservation and Joint Arthroplasty (H)- Index

Indications and Contraindications for Hip Arthroscopy

John C. Clohisy, MD

Objectives

This presentation will review the 1) established indications, 2) contraindications and 3) controversial indications for hip arthroscopy.

Introduction

The surgical treatment of symptomatic hip disease has markedly changed over the past several years. A variety of joint preservation procedures (arthroscopy, osteotomy, safe dislocation) have gained popularity in treating pre-arthritic and early arthritic hip disorders. Most notable has been the dramatic increase in the utilization of hip arthroscopy. The broader application of arthroscopic techniques has provided effective treatment for a variety of disorders. Nevertheless, there remains controversy regarding the appropriate indications and possible overutilization of this surgical procedure.

Successful application of arthroscopy is dependent upon strict diagnostic criteria, careful patient selection, appropriate indications and precise surgical technique. This presentation will review the current indications, contraindications and controversial indications for hip arthroscopy.

1) Established Indications for Hip Arthroscopy

Conclusion

There are excellent indications for hip arthroscopy with the most common being FAI followed by isolated intra-articular hip abnormalities. Hip arthroscopy can also be an effective adjunct to open joint preservation techniques. The major contraindications include established OA and major structural deformities not amenable to arthroscopic correction. Future studies are needed to delineate the indications for several controversial indications.


References

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