The Failed Hip Arthroscopy - How to Successfully Manage (and Not Replace) It (AANA22)-Evaluation of the Patient w/Failed Hip Arthroscopy & Approach to Manage

Evaluation of the Patient w/Failed Hip Arthroscopy & Approach to Manage

Video Transcription

Video Summary

In this video, Mark Philippon discusses failed hip arthroscopy and the salvageable causes of persistent pain after the procedure. He mentions that non-operative and operative management can be used to address these causes. He emphasizes the importance of proper patient selection and avoiding non-arthroscopically solvable issues. Philippon outlines a checklist he uses when evaluating patients with failed hip arthroscopy, including assessing the quality of the initial surgery, considering if the right diagnosis was made, and examining for issues like muscle weakness, tendonitis, and instability. He also discusses the causes of failed hip arthroscopy based on a study by Brian Kelly, citing impingement, instability, and capsular defects among the most common causes. Philippon further explains the management strategies for complications such as stiffness, adhesions, weakness, and tendonitis. He suggests the use of physical therapy, injections, and surgical revision when necessary. The video concludes with a discussion on labral and bony issues that may contribute to failed hip arthroscopy and the importance of proper diagnosis and treatment.

Asset Caption

Marc. R. Safran, M.D.

Keywords

hip arthroscopy

persistent pain

operative management

checklist

causes of failed hip arthroscopy

management strategies