The Evolution of Hip Arthroscopy: What Has Changed Since 2008—A Single Surgeon’s Experience
Authors: Domb BG, Chen SL, Shapira J, Maldonado DR, Lall AC, Rosinsky PJ
DOI: 10.1016/j.arthro.2019.10.009
Background
This retrospective study assesses the evolution of hip arthroscopy practices between 2008 and 2016, comparing outcomes from a single surgeon’s first 200 and last 200 cases. The aim is to identify changes in technique, case selection, and clinical results.
Methods
Two patient cohorts were compared:
- Group A (2008): Early experience with more conservative or limited procedures.
- Group B (2016): Later cases incorporating labral reconstructions, capsular closures, and refined femoroplasty techniques.
Patient-reported outcomes and clinically important differences (MCIDs) were analyzed.
Key Findings
- The later cohort showed significantly better functional outcomes, including higher rates of MCID achievement.
- There was a clear shift toward more complex, anatomically restorative procedures and improved preoperative planning.
Conclusions
Hip arthroscopy has undergone significant refinement over the past decade, with modern techniques yielding better results. Surgical precision, case selection, and understanding of hip pathology have all improved.
What Does This Mean for Providers?
- Continuous education and adoption of advanced techniques (e.g., capsular management, labral reconstruction) are crucial for achieving optimal outcomes.
- Surgeons early in their career should recognize the steep learning curve and emphasize structured training and mentorship.
- Staying current with evolving best practices can significantly impact patient-reported outcomes and long-term joint preservation.