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
To survey high-volume hip arthroscopy surgeons on their operative and postoperative management practices to identify consensus and variability in clinical care.
Methods
Cross-sectional anonymous survey of 27 experienced hip arthroscopy surgeons conducted at a professional meeting.
Key Findings
- Universal practices: supine positioning, central compartment first access, use of intraoperative fluoroscopy, labral repair (100%), capsular closure (88.9%), and heterotopic ossification prophylaxis (100%).
- Majority perform labral reconstruction (77.8%) and gluteus medius repair (81.5%).
- Variability exists in type of anchors used, postoperative rehab protocols, and use of intra-articular injections at procedure end.
- Most surgeons prescribe NSAIDs for 3 weeks post-op for HO prophylaxis.
Conclusion
There is strong consensus on many surgical steps, but notable variability in postoperative care. This survey provides insight that can guide training, clinical protocols, and research.
What This Means for Patients
Patients treated by high-volume hip arthroscopy surgeons can expect consistent surgical technique but should anticipate differences in postoperative rehab depending on surgeon preference.