2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Speaker #1: Arthroscopic Osteochondroplasty and Labral Repair

Debate Speaker #1: Arthroscopic Osteochondroplasty and Labral Repair_Reconstruction is Always Better

Video Transcription

Video Summary

The speaker discusses a challenging hip case, debating arthroscopy versus hip replacement. While hip replacement is highly regarded, the speaker argues for arthroscopy, emphasizing the patient's young age and potentially early-stage (tonus 1) joint changes. Successful treatment requires precision femoroplasty, labral restoration or reconstruction, microfracture for cartilage damage, and careful capsular management. Data shows labral repair/reconstruction yields durable results, and precise correction can improve long-term outcomes. Younger patients exhibit higher survivorship post-arthroscopy. Overall, with comprehensive arthroscopic treatment, the prognosis is good, making hip preservation preferable over replacement in this case.

Asset Caption

Benjamin Domb, M.D.

Keywords

hip arthroscopy

hip replacement

femoroplasty

labral repair

joint preservation