Cutting-Edge Advances in Hip Arthroscopy (AANA25)-Cutting-Edge Advances in Hip Arthroscopy: A 2025 Perspective

Video Transcription

Video Summary

The session centered around a discussion on advances in hip arthroscopy, focusing on various techniques and considerations for labral reconstruction, capsular management, computer augmentation, and imaging in the field. The experts presented different perspectives and case studies to illustrate these advancements. <br /><br />Dr. Ben Dome emphasized the importance of labral reconstruction using a knotless pull-through technique, highlighting its effectiveness in treating irreparable labral tears by restoring hip stability and protecting cartilage. He presented various scenarios where different methods, such as labral base re-fixation and controlled tension anatomic labral repair, could be applied based on the indications and the severity of the case.<br /><br />Dr. Andrea Spiker discussed capsular management strategies, advocating for minimizing capsular disruption whenever possible. She recommended techniques such as suspension sutures and limited capsulotomies to maintain function while ensuring proper repair if cutting is necessary. Spiker also touched on the potential for capsular augmentation and reconstruction in complex cases.<br /><br />Dr. Shane Nho introduced the shift towards three-dimensional (3D) imaging technologies, which offer more precise assessments than traditional two-dimensional x-rays. He noted that these advancements in imaging technology can improve preoperative planning and postoperative evaluation of both femoral and acetabular deformities.<br /><br />Finally, Dr. Ivan Wong shared his experiences with 3D printed models and ultrasound-guided hip arthroscopy, emphasizing their efficacy in surgical planning and execution. The use of 3D models has been shown to enhance the surgeon's ability to remove cam lesions accurately, thereby potentially improving patient outcomes.<br /><br />The discussions showcased how modern technology continues to transform hip arthroscopy, leading to more effective and tailored interventions.

Asset Caption

Ivan H. Wong, M.D., FAANA | Benjamin G. Domb, M.D. | Shane J. Nho, M.D., M.S. | Andrea M. Spiker, M.D., FAANA

Keywords

hip arthroscopy

labral reconstruction

capsular management

computer augmentation

imaging technology

knotless pull-through technique

3D imaging

capsular augmentation

3D printed models

ultrasound-guided arthroscopy

surgical planning