2023 Annual Meeting Hip Access Pass-The Failed Hip Scope: Where Did I Go Wrong and How Do I Fix It?

The Failed Hip Scope: Where Did I Go Wrong and How Do I Fix It?

Video Transcription

Video Summary

Dr. Guillaume Dumont discusses revision hip arthroscopy, emphasizing its rising necessity due to increased primary procedures. Revisions often fail within 6-18 months, requiring systematic evaluation including imaging, therapy adjustments, and potential ultrasound injections to avoid unnecessary surgery. Key challenges include residual bony impingement, capsular defects, adhesions, and labral issues. He highlights the importance of careful patient selection, thorough preoperative planning (often utilizing 3D CT), and managing expectations with honest communication. While revision can help, it yields less success than initial surgery. Ultimately, achieving a perfect first surgery is crucial to minimize the need for revisions and enhance patient outcomes.

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Guillaume D. Dumont, M.D

Keywords

revision hip arthroscopy

primary hip procedures

systematic evaluation

preoperative planning

patient selection