Arthroscopy: The Journal of Arthroscopic & Related Surgery
Systematic ReviewComplications and Reoperations During and After Hip Arthroscopy: A Systematic Review of 92 Studies and More Than 6,000 Patients
Section snippets
Methods
A systematic review of the available literature was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines using a PRISMA checklist15 without a formal protocol or registration number. Two independent reviewers separately completed the search on July 22, 2012 using the following databases: Medline (1950 to July 22, 2012), SciVerse Scopus (1960 to July 22, 2012), SportDiscus (1975 to July 22, 2012), and Cochrane Central Register of
Results
Ninety-two studies were identified for analysis (6,134 participants; 6,334 hips) (Table 1). Most studies were Level IV evidence (88%) studies, denied the presence of a financial conflict of interest (65%), and had a short clinical follow-up (mean, 2.0 years). Mean participant age was 34.4 years. Mean body mass index was overweight (27.1 kg/m2). Sex was similarly represented (52% female participants; 48% male participants). Labral tear (38%), FAI (36%), and osteoarthritis (16%) were the 3 most
Discussion
This study reviewed all cases of hip arthroscopy in the literature and showed a low rate of complications (minor and major complication rate of 7.5% and 0.58%, respectively) and reoperations (6.3% overall; 2.9% conversion rate to THA). Our hypotheses were confirmed. Although the quality of evidence (mostly Level IV retrospective case series and case reports) is relatively low, with short duration of follow-up (mean 2.0 years), no case in the literature was omitted and the prevalence of all
Conclusions
The rate of major complications after hip arthroscopy is very low (0.58%). The reoperation rate was 6.3%, and the most common reason for reoperation was conversion to THA. Minor complications and reoperation rates are directly related to the learning curve of hip arthroscopy. As surgical indications evolve, patient selection should limit the number of cases that would have been converted to THA. Similarly, the number of minor complications is directly related to technical aspects of the
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The authors report the following potential conflict of interest or source of funding in relation to this article: T.J.E. is a paid consultant for Stryker and Smith & Nephew, receives research support from Stryker, and receives royalties from Acute Innovations. C.B.J. is an unpaid consultant for The Foundry. S.J.N. is a paid consultant for Stryker, Pivot Medical, and Ossur and receives research support from Arthrex, Linvatec, Smith & Nephew, DJ Orthopaedics, Miomed, Athletico, Stryker, Pivot Medical, and Allosource. J.D.H., A.K.G., G.D.A., F.M.M., and B.R.B. report that they have no conflicts of interest in the authorship and publication of this article.