Safety Measures in Hip Arthroscopy and Their Efficacy in Minimizing Complications: A Systematic Review of the Evidence
Authors: Gupta A, Redmond JM, Hammarstedt JE, Schwindel L, Domb BG
DOI: 10.1016/j.arthro.2014.04.103
Purpose
To review complication rates in hip arthroscopy and evaluate strategies to minimize risk.
Methods
Systematic literature review of 81 studies encompassing 6,277 hips, analyzing complications, reoperations, and conversions to total hip arthroplasty or resurfacing.
Key Findings
- Overall complication rate low at 4.5%; major complications at 0.41%.
- Reoperation rate of 4.03%.
- Conversion to total hip arthroplasty or resurfacing occurred in 2.4%.
- Emphasis on surgical technique and planning reduces complications.
Conclusion
Hip arthroscopy is generally safe with low complication rates, especially when performed by experienced surgeons using meticulous technique.
What Does This Mean for Providers?
- Maintaining rigorous surgical technique and preoperative planning is critical to minimizing complications.
- Providers should counsel patients on the low but present risks and the importance of surgeon and center experience.
- Continuous monitoring of outcomes and complication rates is advisable.