Current Controversies in Hip Arthroscopy (AANA19)-Questions And Answers_ Current Controversies in Hip Arthroscopy-Dr. Dean K. Matsuda, M.D.

Questions And Answers_ Current Controversies in Hip Arthroscopy-Dr. Dean K. Matsuda, M.D.

Video Transcription

Video Summary

The panel discussion centers on hip preservation surgery, focusing on challenges in treating global pincer deformities, labral tears, and chondral defects in middle-aged, active patients. Experts emphasize thorough preoperative imaging, capsular repair, and addressing instability risks, noting that cartilage damage severity often guides treatment choices. Controversy arises over using the Gasp shelf procedure versus periacetabular osteotomy (PAO) in patients over 40; some advocate for PAO’s comprehensive realignment and cartilage preservation, while others recognize the shelf procedure’s promising functional outcomes despite limited long-term data. The dialogue highlights patient motivation, activity level, and biological age over chronological age in surgical decision-making. Additionally, femoral version abnormalities are discussed as contributors to hip instability and impingement. The panel acknowledges the association between femoroacetabular impingement (FAI) and broader musculoskeletal issues, including osteitis pubis in athletes, underscoring the importance of combined surgical repair and functional retraining for optimal outcomes.

Asset Caption

Instructional Course Lecture: Current Controversies in Hip Arthroscopy

Keywords

hip preservation surgery

global pincer deformities

labral tears

chondral defects

periacetabular osteotomy (PAO)

femoroacetabular impingement (FAI)