2010, Number 3
<< Back Next >>
Acta Ortop Mex 2010; 24 (3)
Learning curve of arthroscopic hip surgery
Vilchez F, Erquicia J, Tey M
Language: Spanish
References: 34
Page: 177-181
PDF size: 161.43 Kb.
ABSTRACT
Background: Hip arthroscopy has become an increasingly used technique in orthopedic surgery; the learning curve of this procedure has been discussed recently. The purpose of this study is to assess the learning curve of arthroscopic hip surgery using the complications occurred during the surgery as an objective parameter to measure the outcomes.
Methods: Hip arthroscopic surgeries were performed. Patients were divided into two groups, group A corresponded to the learning curve of the first surgeon and group B includes the remaining surgeries. The demographic, surgical, functional and complications data for both groups were collected.
Results: Group A: 30 patients were included, the traction time during surgery was a mean of 75 minutes (range: 45-120). Five complications occurred (16.6%), all of them related to transient neuropraxia of the pudendal nerve. Group B: 67 patients were included, traction time during surgery was a mean of 63 minutes (range: 35-90), 2 complications (2.9%) occurred.
Conclusions: Before performing hip arthroscopy it is necessary to have knowledge of arthroscopic surgery and the regional anatomy, and to have received specific training, given that this technique involves a long learning curve.
REFERENCES
Burman MS: Arthroscopy or the direct visualization of joints. J Bone Joint Surg Am 1931; 13: 669-95.
Burman MS: Arthroscopy or the direct visualization of joints: an experimental cadaver study. Clin Orthop Relat Res 2001; (390): 5-9.
Parisien JS: Arthroscopy of the hip. Present status. Bull Hosp Jt Dis Orthop Inst 1985 Fall; 45(2): 127-32.
McCarthy JC, Lee JA: Hip arthroscopy: indications, outcomes and complications. Instr Course Lect 2006; 55: 301-8.
Smart LR, Oetgen M, Noonan B, Medvecky M: Beginning hip arthroscopy: indications, positioning, portals, basic techniques and complications. Arthroscopy 2007; 23(12): 1348-53.
Kocher MS, Kim YJ, Millis MB, Mandiga R, Siparsky P, Micheli LJ, et al: Hip arthroscopy in children and adolescents. J Pediatr Orthop 2005; 25(5): 680-6.
Roy DR: Arthroscopy of the hip in children and adolescents. J Child Orthop 2009; 3(2): 89-100.
Sampson TG: Arthroscopic treatment of femoroacetabular impingement: a proposed technique with clinical experience. Instr Course Lect 2006; 55: 337-46.
Philippon MJ, Schenker ML: Arthroscopy for the treatment of femoroacetabular impingement in the athlete. Clin Sports Med 2006; 25(2): 299,308, ix.
Lubowitz JH, Poehling GG: Who among us should perform arthroscopic surgery of the hip? Arthroscopy 2009; 25(4): 335-6.
Clarke MT, Arora A, Villar RN: Hip arthroscopy: complications in 1,054 cases. Clin Orthop Relat Res 2003; (406): 84-8.
Funke EL, Munzinger U: Complications in hip arthroscopy. Arthroscopy 1996; 12(2): 156-9.
Bushnell BD, Dahners LE: Fatal pulmonary embolism in a polytraumatized patient following hip arthroscopy. Orthopedics 2009; 32(1): 56.
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(4): 294-9.
Griffin DR, Villar RN: Complications of arthroscopy of the hip. J Bone Joint Surg Br 1999; 81(4): 604-6.
Haupt U, Volkle D, Waldherr C, Beck M: Intra-and retroperitoneal irrigation liquid after arthroscopy of the hip joint. Arthroscopy 2008; 24(8): 966-8.
Ilizaliturri VM, Jr: Complications of arthroscopic femoroacetabular impingement treatment: a review. Clin Orthop Relat Res 2009; 467(3): 760-8.
Sampson TG: Complications of hip arthroscopy. Clin Sports Med 2001; 20(4): 831-5.
Sharma A, Sachdev H, Gomillion M: Abdominal compartment syndrome during hip arthroscopy. Anaesthesia 2009; 64(5): 567-9.
Dorfmann H: Arthroscopy of the hip. Presse Med 1988; 17(13): 611-2.
Jain NP, Jowett AJ, Clarke NM: Learning curves in orthopaedic surgery: a case for super-specialization? Ann R Coll Surg Engl 2007; 89(2): 143-6.
Witjes S, Smolders JM, Beaule PE, Pasker P, Van Susante JL: Learning from the learning curve in total hip resurfacing: a radiographic analysis. Arch Orthop Trauma Surg 2009; 129(10): 1293-9.
King J, Stamper DL, Schaad DC, Leopold SS: Minimally invasive total knee arthroplasty compared with traditional total knee arthroplasty. Assessment of the learning curve and the postoperative recuperative period. J Bone Joint Surg Am 2007; 89(7): 1497-503.
Glick JM: Hip Arthroscopy. New York: Raven Press; 1991.
Byrd JW: Hip arthroscopy utilizing the supine position. Arthroscopy 1994; 10(3): 275-80.
Farjo LA, Glick JM, Sampson TG: Hip arthroscopy for acetabular labral tears. Arthroscopy 1999; 15(2): 132-7.
Schindler A, Lechevallier JJ, Rao NS, Bowen JR: Diagnostic and therapeutic arthroscopy of the hip in children and adolescents: evaluation of results. J Pediatr Orthop 1995; 15(3): 317-21.
Byrd JW. Hip arthroscopy: the supine position. Instr Course Lect 2003; 52: 721-30.
Eriksson E, Arvidsson I, Arvidsson H: Diagnostic and operative arthroscopy of the hip. Orthopedics 1986; 9(2): 169-76.
Villar RN: Hip arthroscopy. Br J Hosp Med 1992; 47(10): 763-6.
Byrd JW, Jones KS: Arthroscopic femoroplasty in the management of cam-type femoroacetabular impingement. Clin Orthop Relat Res 2009; 467(3): 739-46.
Monllau JC, Solano A, Leon A, Hinarejos P, Ballester J: Tomographic study of the arthroscopic approaches to the hip joint. Arthroscopy 2003; 19(4): 368-72.
Ilizaliturri VM, Jr, Acosta-Rodriguez E, Camacho-Galindo J: A minimalist approach to hip arthroscopy: the slotted cannula. Arthroscopy 2007; 23(5): 560.e1, 560.e3.
Philippon M, Schenker M, Briggs K, Kuppersmith D: Femoroacetabular impingement in 45 professional athletes: associated pathologies and return to sport following arthroscopic decompression. Knee Surg Sports Traumatol Arthrosc 2007; 15(7): 908-14.