Scope Essentials 2024-When Hip Arthroscopy is Not Enough

When Hip Arthroscopy is Not Enough – When to Consider Open Surgery

Video Transcription

Video Summary

Andrea Spiker from the University of Wisconsin discusses cases where hip arthroscopy may not suffice, prompting open surgery consideration. Open surgery is necessary for severe dysplasia and Perthes disease. Borderline dysplasia poses challenges with 90% involving labral issues. Properly indicated hip arthroscopy for this condition requires careful soft tissue management and complete capsule closure. Other factors like femoral version abnormalities and femoral osteotomies may warrant open procedures. Surgical hip dislocation and total hip replacement are options when preservation is unsuitable. Knowledge of radiographic parameters and clinical signs is crucial for accurate diagnosis and treatment selection.

Asset Caption

Andrea Spiker, M.D.

Keywords

hip arthroscopy

open surgery

severe dysplasia

Perthes disease

labral issues