Hip arthroscopy current advances

Abstract

This review summarizes current concepts and advances in the arthroscopic surgery of the hip joint. The number of hip arthroscopies performed in the UK is rising exponentially, and surgeons are expanding the applications in both intra-articular and extra-articular surgery. This procedure has showed satisfactory results in the treatment of labral pathology in young adults and recently its indications are extended to older patients. Current literature suggests good short-term results from arthroscopy in the management of labral tears, capsular closure, and assisting with the repair of hip fractures. Following the better understanding of the role and function of hip capsule, variable treatment options have been reported with satisfactory results about its repair. Finally, new biological and surgical approaches have also been presented for the treatment of chondral acetabular lesions. The use of biological therapies in conjunction with hip arthroscopy are showing promising results in the short to medium term. However, as the majority of studies focus on early outcomes, further work is needed to be able to appreciate the wide potential of hip arthroscopy in the diagnosis and management of pathologies around the hip joint.