What is it about?

This is a review paper which reviewed the current position in relation to the use of arthroscopy in the treatment of disorders of the hip, focusing on patient assessment, typical patterns of mechanical impingement and instability, arthroscopic technique, efficacy of arthroscopic surgery for femoroacetabular impingement (FAI), and complication of arthroscopy of the hip.

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Why is it important?

The arthroscopic treatment of disorders of the hip has increased during the last decade and has now become an established technique for the treatment of many intra and extra-articular pathologies in and around the hip. However, appropriate education and training, precise and meticulous surgical technique with correct instrumentation, the right indication in the right patient and adherence to advice from experienced senior surgeons are all essential factors for a successful outcome. This review allows general orthopaedic surgeons to have a general idea of hip arthroscopy.

Perspectives

Hip arthroscopy has a steep learning curve and is not without complications. Past reported statistics may underestimate the incidence of iatrogenic injury associated with inappropriate portal placement and traumatic access into the central compartment. We will soon report a systematic review in relation to an overall complication rate in hip arthroscopy.

Mr Vikas Khanduja
University of Cambridge

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This page is a summary of: Arthroscopic hip preservation surgery: Current concepts and perspective, The Bone & Joint Journal, January 2013, Bone & Joint,
DOI: 10.1302/0301-620x.95b1.29608.
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