AANA25 Hip Access Pass-CONCURRENT SESSION 1E: AANA/ISHA: Decision-Making in Hip Preservation: A Case Debate Seminar

Video Transcription

Video Summary

The transcript captures a comprehensive joint session of the International Society for Hip Arthroscopy (ISHA) and the Arthroscopy Association of North America (AANA), focusing on advanced hip preservation and arthroscopy techniques. Dr. John Christopher Reddy, ISHA president, emphasizes the society’s growth from 20 members to nearly 1,000 globally and highlights the collaboration between open preservation and arthroscopy communities. The session includes detailed case discussions presented by expert faculty, featuring complex patients ranging from young elite athletes to older adults with hip pain and structural deformities.<br /><br />Key cases illustrate diagnoses such as borderline dysplasia with CAM deformity, large chondral lesions, ligamentum teres tears, and labral pathology. Treatment options discussed include primary arthroscopy, staged osteochondral allograft transplantation (OATS), periacetabular osteotomy (PAO), microfracture, labral repair or reconstruction, and biologic augmentation techniques including bone grafting and cartilage restoration. The experts debate surgical timing, patient activity level, and individualized approaches—particularly emphasizing the importance of shared decision-making with patients.<br /><br />Notably, the panel discusses technical challenges in hip preservation surgery such as managing labral ossification in middle-aged patients, interpreting imaging nuances like lateral center edge and tonus angles, and the implications of dynamic hip instability. They underscore the evolving nature of hip arthroscopy and preservation, highlighting the role of advanced imaging, careful patient selection, and integration of biologic therapies. The session concludes with discussions on rare intra-articular lesions detectable only through advanced imaging and surgery, stressing continued innovation and multidisciplinary dialogue in hip preservation.

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Keywords

Hip Arthroscopy

Hip Preservation

ISHA

AANA

Labral Repair

Periacetabular Osteotomy

Osteochondral Allograft Transplantation

Microfracture

Ligamentum Teres Tear

Advanced Imaging