Scope Essentials 2024-Intra and Post Op Complications – How to Minimize Risk and Manage Them

Intra and Post Op Complications – How to Minimize Risk and Manage Them

Video Transcription

Video Summary

Dr. Winston Gwathmey from the University of Virginia discusses common complications in hip arthroscopy, emphasizing preparation and technique to avoid issues. He highlights pitfalls such as neuropraxia (especially of the lateral femoral cutaneous nerve), cartilage damage, incomplete femoroacetabular impingement (FAI) correction, and traction-related injuries. Dr. Gwathmey stresses the importance of verifying equipment compatibility, proper patient positioning, traction management, and close attention to capsular handling to prevent instability and postoperative problems. He advocates post-free traction techniques to reduce perineal complications, careful anchor placement to avoid articular damage, and thorough intraoperative visualization to ensure proper cam correction. Postoperative rehabilitation is critical to optimal recovery, with attention to protecting repairs while restoring motion. Setting realistic patient expectations is also crucial to avoid dissatisfaction. Overall, Dr. Gwathmey underlines that hip arthroscopy requires meticulous planning, execution, and teamwork to minimize complications and achieve the best outcomes.

Asset Caption

Frank Winston Gwathmey, Jr., M.D.

Keywords

hip arthroscopy complications

neuropraxia lateral femoral cutaneous nerve

femoroacetabular impingement correction

post-free traction technique

capsular handling instability

postoperative rehabilitation hip