The Failed Hip Arthroscopy - How to Successfully Manage (and Not Replace) It (AANA22)-Open Management of Bony Issues

Video Transcription

Video Summary

The video discusses the topic of open hip preservation surgery as an alternative to hip arthroscopy in cases where the arthroscopy has failed. The speaker first discusses the clear indications for open surgery, which include cases of frank hip dysplasia and Perthes disease. They explain the goals and procedures of open hip surgery, such as the periacetabular osteotomy (PAO), which aims to provide more coverage to the femoral head.<br /><br />The video then delves into situations where open surgery may not be the obvious choice but could still be the right one. The speaker focuses on borderline hip dysplasia, femoral version abnormalities, and when to consider surgical hip dislocation instead of arthroscopy. They emphasize the importance of accurately diagnosing borderline dysplasia, as well as the consequences of choosing arthroscopy in these cases. Other topics discussed include the use of femoral derotational osteotomy and the indications for surgical hip dislocation.<br /><br />The video concludes by highlighting the different open surgical alternatives to hip arthroscopy and the importance of evaluating clinical instability and radiographic dysplasia in hip preservation.

Asset Caption

Andrea M. Spiker, M.D.

Keywords

open hip preservation surgery

hip arthroscopy

periacetabular osteotomy

borderline hip dysplasia

surgical hip dislocation