2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Speaker #1: Proceed With Arthroscopic Intervention and Repair

Debate Speaker #1: Proceed With Arthroscopic Intervention and Repair

Video Transcription

Video Summary

Dr. Chris advocates for arthroscopy alone in treating borderline hip dysplasia, emphasizing treating the patient rather than relying solely on x-rays. Citing over 20 years of supportive literature, he highlights arthroscopy’s ability to target pain sources while minimizing risks. Key techniques include limited capsular exposure, preserving critical soft tissue structures, avoiding unnecessary bone resection, and dynamic hip assessment. The approach uses two modified portals to protect anatomical structures and differentiates between capsular closure and volume-reducing capsulorraphy based on patient needs. Postoperative bracing supports rehabilitation. Overall, modern arthroscopy advances offer effective, minimally invasive treatment backed by substantial evidence.

Asset Caption

Allston J. Stubbs, IV, M.D., M.B.A.

Keywords

arthroscopy

borderline hip dysplasia

capsular closure

minimally invasive treatment

postoperative bracing