Best Practices During Hip Arthroscopy: Aggregate Recommendations of High-Volume Surgeons
Authors: Gupta A, Suarez-Ahedo C, Redmond JM, Gerhardt MB, Hanypsiak B, Stake CE, Finch NA, Domb BG
DOI: 10.1016/j.arthro.2015.03.023
Purpose
Survey high-volume hip arthroscopy surgeons on operative and postoperative management to identify consensus and variability.
Methods
Cross-sectional anonymous survey of 27 experienced surgeons at a professional meeting.
Key Findings
- Universal practices: supine positioning, central compartment first, intraoperative fluoroscopy, labral repair (100%), capsular closure (88.9%), HO prophylaxis (100%).
- Majority perform labral reconstruction (77.8%), gluteus medius repair (81.5%).
- Variability in anchor types, postoperative rehab, intra-articular injections at procedure end.
- Most prescribe NSAIDs for 3 weeks post-op for HO prophylaxis.
What Does This Mean for Providers?
- Provides a benchmark for surgical standards and highlights common practices among expert surgeons.
- Useful for aligning training protocols and identifying areas needing research to standardize care, especially postoperative rehab.
- Awareness of variability may help tailor patient-specific rehab and management strategies.