Current Controversies in Hip Arthroscopy (AANA19)-Osteoarthritis_ How Much is too Much_ Capsule_ Repair or Not

Osteoarthritis_ How Much is too Much_ Capsule_ Repair or Not_-Dr. Thomas G. Sampson, M.D.

Video Transcription

Video Summary

The speaker, an experienced surgeon, discusses the challenges of treating hip osteoarthritis (OA) in older patients, particularly those seeking miraculous outcomes. He emphasizes careful patient selection for hip arthroscopy versus total hip replacement (THR), highlighting criteria like joint space, cartilage quality, patient motivation, and congruency. Arthroscopy can provide symptomatic relief and delay THR if patients have less severe arthritis and acceptable motion. The surgeon describes surgical techniques including capsulotomy approaches, labral repair, and management of femoroacetabular impingement. He stresses the importance of being skilled, committed to the full procedure, and setting realistic expectations with patients. The low reported dislocation rate (0.067%) after arthroscopic capsulotomy is noted. Repairing the capsule depends on individual factors, with awareness of connective tissue disorders and tailoring rehabilitation accordingly. He concludes that while earlier-stage patients may benefit from arthroscopy, careful judgment and readiness to proceed to THR if needed are crucial for optimal outcomes.

Asset Caption

Instructional Course Lecture: Current Controversies in Hip Arthroscopy

Keywords

hip osteoarthritis

hip arthroscopy

total hip replacement

femoroacetabular impingement

capsulotomy

labral repair