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Operative Hip Arthroscopy pp 403–409Cite as

Complications of Hip Arthroscopy

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Abstract

Hip arthroscopy is a relatively safe procedure with complications rates reported by several authors around 1.5%. As with any surgical procedure, there are potential complications related to bleeding, deep venous thrombosis, infection, and neurovascular injury. There are a number of complications related to hip arthroscopy that have not been reported in any other joint due to issues related to joint distraction, proximity to the abdomen, and treatment of hip-specific pathology. Most of the reported complications involve the use of traction and fluid management. However, the most frequent, but underreported, complications likely result from iatrogenic cartilage injury and over- or undertreatment of the underlying pathology. For example, inadequate resection of a CAM or pincer lesion for femoroacetabular impingement (FAI) may result in persistent pain or revision surgery, while overresection may cause subtle instability. As our understanding and ability to treat hip pathology have expanded, the rate of complications has not changed, but the types of complications have differed. In the early phases of hip arthroscopy, the complications were related to neurapraxias related to excessive traction time and limited to iatrogenic injury within the central compartment. Hip arthroscopy for FAI has also introduced complications that were not previously encountered. The goal of this chapter is to review potential complications related to hip arthroscopy and discuss strategies for avoiding them.

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References

  1. Byrd J. Complications associated with hip arthroscopy. In: Byrd J, editor. Operative Hip arthroscopy. New York: Thieme; 1998. p. 171–6. 70.

    Google Scholar 

  2. Clarke MT, Arora A, Villar RN. Hip arthroscopy: complications in 1054 cases. Clin Orthop Relat Res. 2003;406:84–8. doi: 10.1097/01.blo.0000043048.84315.af34.

    Google Scholar 

  3. Griffin DR. Complications of arthroscopy of the hip. J Bone Joint Surg Br. 1999;81:604–6. 4.

    Article  PubMed  CAS  Google Scholar 

  4. Sampson TG. Complications of hip arthroscopy. Tech Orthop. 2005;20:63–6. 73.

    Article  Google Scholar 

  5. Bushnell BD, Anz AW, Bert JM. Venous thromboembolism in lower extremity arthroscopy. Arthroscopy. 2008;24:604–11. doi:10.1016/j.arthro.2007.11.01025. S0749–8063(07)01038–9 [pii].

    Article  PubMed  Google Scholar 

  6. Flierl MA, Stahel PF, Hak DJ, Morgan SJ, Smith WR. Traction table–related complications in orthopaedic surgery. J Am Acad Orthop Surg. 2010;18:668–75. 10.

    PubMed  Google Scholar 

  7. Elsaidi GA, Ruch DS, Schaefer WD, Kuzma K, Smith BP. Complications associated with traction on the hip during arthroscopy. J Bone Joint Surg Br. 2004;86:793–6. 11.

    Article  PubMed  CAS  Google Scholar 

  8. Brumback RJ, Ellison TS, Molligan H, Molligan DJ, Mahaffey S, Schmidhauser C. Pudendal nerve palsy complicating intramedullary nailing of the femur. J Bone Joint Surg Am. 1992;74:1450–5. 75.

    PubMed  CAS  Google Scholar 

  9. Byrd JW, Chern KY. Traction versus distension for distraction of the joint during hip arthroscopy. Arthroscopy. 1997;13:346–9. 31.

    Article  PubMed  CAS  Google Scholar 

  10. Fietsam Jr R, Villalba M, Glover JL, Clark K. Intra-abdominal compartment syndrome as a complication of ruptured abdominal aortic aneurysm repair. Am Surg. 1989;55:396–402. 78.

    PubMed  Google Scholar 

  11. Bartlett CS, DiFelice GS, Buly RL, Quinn TJ, Green DS, Helfet DL. Cardiac arrest as a result of intraabdominal extravasation of fluid during arthroscopic removal of a loose body from the hip joint of a patient with an acetabular fracture. J Orthop Trauma. 1998;12:294–9. 28.

    Article  PubMed  CAS  Google Scholar 

  12. Haupt U, Volkle D, Waldherr C, Beck M. Intra- and retroperitoneal irrigation liquid after arthroscopy of the hip joint. Arthroscopy. 2008;24:966–8. doi:10.1016/j.arthro.2007.02.01979. S0749–8063(07)00273–3 [pii].

    Article  PubMed  Google Scholar 

  13. Fowler J, Owens BD. Abdominal compartment syndrome after hip arthroscopy. Arthroscopy. 2010;26:128–30. 1.

    Article  PubMed  Google Scholar 

  14. Glick JM, Sampson TG, Gordon RB, Behr JT, Schmidt E. Hip arthroscopy by the lateral approach. Arthroscopy. 1987;3:4–12. 41.

    Article  PubMed  CAS  Google Scholar 

  15. Randelli F, Pierannunzii L, Banci L, Ragone V, Aliprandi A, Buly R. Heterotopic ossifications after arthroscopic management of femoroacetabular impingement: the role of NSAID prophylaxis. J Orthop Traumatol. 2010;11:245–50. doi:10.1007/s10195-010-0121-z82.

    Article  PubMed  Google Scholar 

  16. Heyworth BE, Shindle MK, Voos JE, Rudzki JR, Kelly BT. Radiologic and intraoperative findings in revision hip arthroscopy. Arthroscopy. 2007;23:1295–302. doi:10.1016/j.arthro.2007.09.01543. S0749–8063­(07)­00961–9 [pii].

    Article  PubMed  Google Scholar 

  17. Philippon MJ, Schenker ML, Briggs KK, Kuppersmith DA, Maxwell RB, Stubbs AJ. Revision hip arthroscopy. Am J Sports Med. 2007;35:1918–21. doi:10.1177/036354650730509752. 0363546507305097 [pii].

    Article  PubMed  Google Scholar 

  18. Ilizaliturri Jr VM. Complications of arthroscopic femoroacetabular impingement treatment: a review. Clin Orthop Relat Res. 2009;467:760–8. 3.

    Article  PubMed  Google Scholar 

  19. Tannast M, Siebenrock KA, Anderson SE. Femoroacetabular impingement: radiographic diagnosis – what the radiologist should know. AJR Am J Roentgenol. 2007;188:1540–52. doi:10.2214/AJR.06.092160. 188/6/1540 [pii].

    Article  PubMed  Google Scholar 

  20. Mardones RM, Gonzalez C, Chen Q, Zobitz M, Kaufman KR, Trousdale RT. Surgical treatment of femoroacetabular impingement: evaluation of the effect of the size of the resection. J Bone Joint Surg Am. 2005;87:273–9. doi:10.2106/JBJS.D.0179348. 87/2/273 [pii].

    Article  PubMed  Google Scholar 

  21. Beck M, Leunig M, Parvizi J, Boutier V, Wyss D, Ganz R. Anterior femoroacetabular impingement: part II. Midterm results of surgical treatment. Clin Orthop Relat Res. 2004;418:67–73.

    Google Scholar 

  22. Ilizaliturri Jr VM, Orozco-Rodriguez L, Acosta-Rodriguez E, Camacho-Galindo J. Arthroscopic treatment of cam-type femoroacetabular impingement: preliminary report at 2 years minimum follow-up. J Arthroplasty. 2008;23:226–34. doi:10.1016/j.arth.2007.03.01646. S0883–5403(07)00166–0 [pii].

    Article  PubMed  Google Scholar 

  23. Matsuda DK. Acute iatrogenic dislocation following hip impingement arthroscopic surgery. Arthroscopy. 2009;25:400–4. 55.

    Article  PubMed  Google Scholar 

  24. Benali Y, Katthagen BD. Hip subluxation as a complication of arthroscopic debridement. Arthroscopy. 2009;25:405–7. 54.

    Article  PubMed  Google Scholar 

  25. Ilizaliturri Jr VM. Complications of arthroscopic femoroacetabular impingement treatment: a review. Clin Orthop Relat Res. 2009;467:760–8. 58.

    Article  PubMed  Google Scholar 

  26. Ranawat AS, McClincy M, Sekiya JK. Anterior dislocation of the hip after arthroscopy in a patient with capsular laxity of the hip. A case report. J Bone Joint Surg Am. 2009;91:192–7. 56.

    Article  PubMed  Google Scholar 

  27. Nwachukwu BU, McFeely ED, Nasreddine AY, Krcik JA, Frank J, Kocher MS. Complications of hip arthroscopy in children and adolescents. J Pediatr Orthop. 2011;31:227–31. 9.

    Article  PubMed  Google Scholar 

  28. Souza BG, Dani WS, Honda EK, Ricioli Jr W, Guimarães RP, Ono NK, Polesello GC. Do complications in hip arthroscopy change with experience? Arthroscopy. 2010;26:1053–8. 5.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Duke University Medical Center, DUMC 2887, Durham, NC, 27701, USA

    Richard C. Mather III M.D.

  2. Department of Orthopedic Surgery, Rush University Medical Center, 1611 West Harrison Street Suite 300, Chicago, IL, 60612, USA

    Avinish Reddy B.S.

  3. Department of Orthopedic Surgery, Rush University Medical Center, Midwest Orthopaedics at Rush, 1611 W. Harrison St., Suite 300, Chicago, IL, 60612, USA

    Shane J. Nho M.D., M.S.

Authors
  1. Richard C. Mather III M.D.
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  2. Avinish Reddy B.S.
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  3. Shane J. Nho M.D., M.S.
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Correspondence to Shane J. Nho M.D., M.S. .

Editor information

Editors and Affiliations

  1. Orthopaedic Center, Baptist Medical Plaza I, Nashville Sports Medicine and, Church Street 2011, Nashville, 37203, Tennessee, USA

    J.W. Thomas Byrd

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Mather, R.C., Reddy, A., Nho, S.J. (2013). Complications of Hip Arthroscopy. In: Byrd, J. (eds) Operative Hip Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7925-4_32

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  • DOI: https://doi.org/10.1007/978-1-4419-7925-4_32

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-7924-7

  • Online ISBN: 978-1-4419-7925-4

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