Editorial Commentary: Primary Treatment of Hip Labral, Osseous, Chondral, Capsular, and Extra-Articular Pathology Is Essential: Outcomes Following Revision Are Less Predictable
Authors
Kuhns BD, Domb BG
Journal
Arthroscopy, July 2024
Objective
To highlight the importance of comprehensive, high-quality treatment during the first hip arthroscopy to avoid poor outcomes from revision surgeries.
Key Findings
- Early labral reconstruction is crucial when repair isn’t possible to optimize function.
- Primary surgeries yield better outcomes than revisions.
- Comprehensive treatment, addressing bone shape, cartilage, capsule, and extra-articular factors, leads to the best results.
Conclusion
Getting it right the first time is essential. A thorough and high-quality initial surgery improves the chances of long-term success and reduces the need for revision surgeries.
What Does This Mean For Patients
If you're undergoing hip surgery, make sure all aspects of your hip pathology are treated comprehensively to increase the likelihood of long-term success and avoid needing further surgeries.