EVALUATION OF COMPLICATIONS IN A SERIES OF HIP ARTHROSCOPY CASES

• DOI: https://doi.org/10.22533/at.ed.1595302518093

• Palavras-chave: hip arthroscopy, epidemiology, complications, femoroacetabular impingement, hip chondral lesion, hip labral lesion, traction techniques, hip arthroscopy.

• Keywords: hip arthroscopy, epidemiology, complications, femoroacetabular impingement, hip chondral lesion, hip labral lesion, traction techniques, hip arthroscopy.

• Abstract:

  Objectives: This is a series of cases (level of evidence IV) whose objective is to evaluate the clinical results/postoperative complications of patients who underwent hip arthroscopy for the treatment of various pathologies. Methods: Based on a series of cases of arthroscopies performed at Vitória Apart Hospital (VAH). Medical records were collected from the Service from 2020 to 2022 for 76 patients with various diagnoses, including mainly femoroacetabular impingement and chondrolabral lesions, with a minimum postoperative follow-up of 24 months. Data regarding patient age, sex, laterality, traction time, number of portals, post-procedure anesthetic block complications, number of anchors, reoperation rate, and conversion time to arthroplasty were analyzed. Results: A predominance of males was observed, with a mean age of 42 years at the date of surgery. There was no predominance of laterality. The average traction time was 54 min. The most frequent surgical indication was due to chondrolabral injury and femoroacetabular impingement. There was an average of three portals used during the surgical procedure, and most patients received post-procedure anesthetic block. Of the 76 cases analyzed, 24 cases presented some type of complication, with residual myofascial pain being the most common. Of the cases followed up, only 3 cases required arthroscopic re-approach in the postoperative period, and another 3 cases were converted to total hip arthroplasty. Conclusion: Hip arthroscopy is an excellent diagnostic and treatment method when properly indicated and performed, taking the necessary precautions. It was found that in the group analyzed, there was a low complication rate, with excellent clinical results.