AANA Hip Arthroscopy - September 2024-Complications and Approach to Revision Hip Arthroscopy

Complications and Approach to Revision Hip Arthroscopy

Video Transcription

Video Summary

Dr. Alston Stubbs discusses complications in revision hip arthroscopy, emphasizing prevention and careful surgical techniques. Key issues include retained instruments, nerve palsies (pudendal, lateral femoral cutaneous, sciatic), iatrogenic instability, DVT, cartilage damage, and femoral neck fractures. Prevention involves careful traction management, proper padding, anatomical knowledge, and use of imaging like fluoroscopy or 3D scans. He highlights tip counts to avoid retained instruments and advocates for postless traction methods. Treatment varies from observation to surgical intervention based on injury type. Patient selection is crucial, with contraindications including advanced arthritis, osteoporosis, and high BMI. Early recognition and management optimize outcomes.

Keywords

revision hip arthroscopy

complications prevention

nerve palsies

iatrogenic instability

postless traction