Surgeon Experience in Hip Arthroscopy Affects Surgical Time, Complication Rate, and Reoperation Rate: A Systematic Review on the Learning Curve
Authors: Go CC, Kyin C, Maldonado DR, Domb BG
DOI: 10.1016/j.arthro.2020.06.033
Background
Hip arthroscopy is technically demanding, and outcomes can be significantly influenced by a surgeon’s experience. This review analyzes how surgical performance and patient outcomes improve with case volume.
Methods
Fifteen studies on the hip arthroscopy learning curve were reviewed. Metrics assessed included surgical time, traction time, complications, reoperation rates, and patient-reported outcomes (PROs).
Key Findings
- Increased surgical experience correlated with reduced operative and traction time.
- Complication and reoperation rates decreased as case volume increased.
- PROs improved as surgeons passed certain experience thresholds (20–500+ cases).
Conclusions
Experience has a measurable impact on the safety, efficiency, and outcomes of hip arthroscopy. A steep initial learning curve exists, but outcomes improve consistently with increased procedural volume.
What Does This Mean for Providers?
Providers should be aware that surgical proficiency in hip arthroscopy is heavily influenced by case volume. Institutions training new surgeons should implement structured mentorship and volume benchmarks to ensure safe and effective care. Referring providers may also consider a surgeon’s experience level when guiding patients toward surgical consultation.