Cutting-Edge Advances in Hip Arthroscopy: A 2025 Perspective (2025 Annual Meeting)-Cutting-Edge Advances in Hip Arthroscopy: A 2025 Perspective

Video Transcription

Video Summary

This expert panel discussion at a hip arthroscopy conference focused on cutting-edge advances and future perspectives. Dr. Ben Domb presented on labral reconstruction using knotless pull-through techniques, emphasizing the importance of restoring the labrum’s sealing function for hip stability. He detailed an algorithm for labral tear management ranging from repair to circumferential reconstruction, highlighting that advancements and simplified knotless anchors improved reproducibility and outcomes. Studies show labral reconstructions allow high return to sport rates with robust, durable results.<br /><br />Dr. Andrea Spiker discussed capsular management, advocating for minimizing capsulotomy disruption and always repairing the capsule to restore hip stability, including techniques such as interportal capsulotomy with suspension sutures. He reviewed indications for capsular augmentation and reconstruction in revisions and large defects, stressing knowledge of hip capsule anatomy and careful surgical technique.<br /><br />Dr. Shane presented on the evolving role of three-dimensional imaging and computer-augmented hip arthroscopy. He emphasized the limitations of standard 2D x-rays and the benefits of 3D CT and MRI-based models for accurately assessing acetabular coverage, femoral morphology, and retroversion. These models improve preoperative planning and intraoperative precision, and computer vision software aids resection accuracy. While current MRI segmentation is time-intensive, advances may facilitate wider clinical use.<br /><br />Dr. Tim Buckley shared clinical experience with 3D printing for visualization of cam deformities, improving resection accuracy and patient outcomes. He highlighted ultrasound-guided portals to reduce fluoroscopy use, especially valuable where fluoroscopy resources are limited.<br /><br />The panel concluded by reviewing complex cases involving os acetabuli (OSS), cam deformities, and revision strategies. They underscored the nuanced decision-making needed for OSS fixation and femoroplasty, balancing fragment stability and avoiding dysplasia. Overall, this session showcased significant technological and surgical advancements enhancing hip preservation outcomes.

Asset Caption

Ivan H. Wong, M.D., FAANA | Benjamin G. Domb, M.D. | Shane J. Nho, M.D., M.S. | Andrea M. Spiker, M.D., FAANA

Keywords

hip arthroscopy

labral reconstruction

knotless pull-through technique

capsular management

interportal capsulotomy

3D imaging

computer-augmented surgery

3D printing

cam deformities

os acetabuli

hip preservation