AANA24 Hip All-Access Pass-CONCURRENT SCIENTIFIC SESSION 2A: Hip

Video Transcription

Video Summary

The session covered six hip preservation study presentations focusing on long-term outcomes and return to sport. Dr. Ali Parsa presented a 10-year outcomes study of hip arthroscopy for femoroacetabular impingement (FAI) with acetabular retroversion. Results showed significant improvements in patient-reported outcomes and high survivorship, comparable to non-retroverted hips, supporting arthroscopy as a safe long-term treatment without requiring pelvic osteotomy.<br /><br />Dr. Jake Hendrickson discussed return to sport after hip preservation surgery, including arthroscopy alone or combined with periacetabular or distal femoral osteotomies. Retrospective and prospective cohorts showed roughly 74-79% overall return to sport, with no significant difference in return rates between groups at one year, though professional athletes and arthroscopy-alone patients tended to return more frequently.<br /><br />Dr. Mario Hevesi shared outcomes of arthroscopic iliopsoas fractional lengthening after total hip arthroplasty, demonstrating significant pain reduction and improved activity with low revision rates, independent of acetabular overhang.<br /><br />Other presentations addressed functional outcomes and return to sport comparing hip arthroscopy versus total hip arthroplasty in borderline dysplasia patients, effects of cartilage damage on revision risk post-arthroscopy, and correlations between six-month and 10-year hip arthroscopy outcomes.<br /><br />Overall, the data emphasize positive long-term results for hip arthroscopy in complex deformities, highlight the importance of patient selection and counseling, and show promising advancements in management of post-arthroplasty iliopsoas tendonitis.

Asset Caption

Moderators: Mario Hevesi, M.D., Ph.D., Vonda Wright, M.D., M.S.

Keywords

hip preservation

hip arthroscopy

femoroacetabular impingement

acetabular retroversion

return to sport

periacetabular osteotomy

iliopsoas fractional lengthening

total hip arthroplasty

long-term outcomes