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This Article Full Text Full Text (PDF) All Versions of this Article: 35/11/1918    most recent 0363546507305097v1 Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (1) Citing Articles via Google Scholar Google Scholar Articles by Philippon, M. J. Articles by Stubbs, A. J. Search for Related Content PubMed PubMed Citation Articles by Philippon, M. J. Articles by Stubbs, A. J. Related Collections Hip/groin Arthroscopy

Revision Hip Arthroscopy

From the Steadman Hawkins Research Foundation, Vail, Colorado

^* Address correspondence to Marc J. Philippon, MD, Steadman Hawkins Research Foundation, Attn: Clinical Research, 181 W. Meadow Drive, Suite 1000, Vail, CO 81657 (e-mail: karen.briggs{at}shsmf.org).

Background: Hip arthroscopy has become increasingly popular; however, little is known about revision hip arthroscopy.

Hypothesis: Revision hip arthroscopy is associated with unaddressed femoroacetabular impingement. The purpose of this study was to describe reasons for revision hip arthroscopy.

Study Design: Case series; Level of evidence, 4.

Methods: Between March 2005 and March 2006, 37 revision hip arthroscopies were performed by the senior author. Data were collected through retrospective review of clinical and operative notes.

Results: All patients required revision surgery because of persistent hip pain. There were 25 women and 12 men with an average age of 33 years (range, 16–53 years). The average time from prior surgery to revision was 20.5 months (range, 2.9–84 months). Common findings among patients needing revision were hip pain, decreased range of motion, and functional disability. The average modified Harris Hip Score was 53 (range, 22–99). Thirty-six patients had radiographic evidence of femoroacetabular impingement at the time of revision. Revision procedures included 34 (95%) for femoroacetabular impingement, 32 (87%) for labral lesions, 26 (70%) for a chondral defect, 23 (62%) for lysis of adhesions, and 13 (35%) for previously unaddressed instability. Two patients had total hip arthroplasty after revision, and 3 patients required further revision. Of the remaining 32 patients, early follow-up was obtained on 27 (84%) at an average of 12.7 months postoperatively (range, 6–19 months). Outcomes showed patients regained some of their lost function within the first year.

Conclusion: Patients commonly required revision hip arthroscopy because of persistent impingement.

Key Words: revision hip arthroscopy • labral tear • femoroacetabular impingement • FAI • outcome

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