APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Complications and Approach to Revision Hip Arthroscopy

Complications and Approach to Revision Hip Arthroscopy

Video Transcription

Video Summary

Dr. Alston Stubbs discusses complications and strategies in revision hip arthroscopy during hip preservation surgery. Key points include avoiding retained instruments by implementing tip counts, minimizing traction force and duration to prevent nerve injuries, using proper imaging for bone resection to avoid instability, and careful portal placement to protect nerves. He highlights risks like pudendal nerve palsy, lateral femoral cutaneous nerve palsy, DVT, heterotopic ossification, cartilage damage, and femoral neck fractures. Prevention involves meticulous surgical technique, imaging, patient selection, and postoperative care. He emphasizes that some cases may be better suited for open surgery or arthroplasty and encourages ongoing education through professional societies.

Asset Caption

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

Keywords

revision hip arthroscopy

hip preservation surgery

nerve injury prevention

surgical complications

postoperative care