Failed hip arthroscopy is manageable with nonoperative care, arthroplasty

摘要

Hip arthroscopy is a unique and novel specialty within the field of joint preservation. One of the most commonindications for it, femoroacetabular impingement, was first coined in 1999. Initially, femoroacetabular impingementwas commonly addressed with open surgical hip dislocation, a procedure described by Reinhold Ganz, MD, andcolleagues in 2001, which was considered the gold standard for surgical treatment of femoroacetabularimpingement for much of the following decade. Only in the last decade did hip arthroscopy become more commonlyperformed for this indication. However, the anatomic complexity of the hip joint, including the proximity ofneurovascular structures and the relative inelasticity of the surrounding ligaments, yielded a significant learningcurve. Inevitably, surgeons undertaking hip arthroscopies face a subset of patients with continued complaints,sometimes referred to as failed hip arthroscopy syndrome. The growing popularity of hip arthroscopy hasnecessitated the development of specialized referral centers, which must act as a resource to the surgeon facing apatient complaining of continued pain after primary hip arthroscopy.