HIP Arthroscopy for the Treatment of Femoroacetabular Impingement: A Comparative Study between the Classic and the Outside-in Access

Abstract

No differences have been found in outcomes regardless the access used. Classic access seems to offer a higher postoperative range of motion and lower risk of heterotopic ossifications.

What Are the Risk Factors for Revision Surgery After Hip Arthroscopy for Femoroacetabular Impingement at 7-year Followup?

“…Previous reports on hip arthroscopy for FAI [ 9,10,18,22,27,32,35,38 ] show similar results to this study. A direct comparison of failure rates (THA and revision surgery), however, is difficult, because most studies report on a short followup with a variety of clinical scores (Table 5).…”

“…The revision rate of 17% might partially represent our learning curve and was mainly attributed to insufficient offset correction. Reports on revision rates after hip arthroscopy for FAI are scarce and range from 2% to 10% [ 8,38 ].…”

Incidencia de calcificaciones heterotópicas tras artroscopia de cadera con técnica fuera-dentro

“…Dicha tasa es bien conocida, especialmente tras artroplastia total de cadera (1)(2)(3)(4) , pero la incidencia de dicha complicación tras artroscopia de cadera aún no está tan caracterizada (5)(6)(7)(8) . En su mayoría son artículos que hacen referencia a casos de artroscopia de cadera realizados mediante abordaje clásico, siendo escasas las publicaciones que traten sobre la incidencia de CH tras cirugía artroscópica mediante técnica fuera-dentro (9) .…”

“…De entre estos estudios, destaca un artículo de revisión de Neal, donde recogen los resultados de 218 estudios, con más de 51.000 cirugías de cadera, en el cual se publica que la incidencia de CH es de un 43% tras artroplastia de cadera (4) . En cuanto a la cirugía artroscópica de cadera, se ha descrito una tasa del 0 al 12% de CH (5,6,7,9) . Según las publicaciones esta tasa puede alcanzar un 44% si no se prescriben antiinflamatorios no esteroideos (AINE) como profilaxis postoperatoria (1,10,11) .…”

Editorial Commentary: Fluid Extravasation in Hip Arthroscopy—A Tough Case Just Got Much Worse

“…For example, in a case of coxa profunda where access to the central compartment can be difficult, an outside-in approach may be needed. 6 If a large cam resection and iliopsoas release are needed, one can wait until after the femoroplasty before releasing the iliopsoas. 7 In these cases, adjustments to the surgical approach or plan and adjustments of pump pressures can avoid complications.…”