2024 AOSSM Annual Meeting Recordings-Concurrent Session B: Hips Don't Lie

Video Transcription

Video Summary

The session on "HIPPS Don't Lie" was chaired by Dr. Mark Safran from Stanford University and Dr. Andrea Spiker from the University of Wisconsin. The session included various presentations and discussions on hip pathologies, particularly focusing on labral tears and femoroacetabular impingement (FAI).<br /><br />Dr. Mario Havisi presented a study on the long-term outcomes of primary hip arthroscopy over a minimum 10-year follow-up. The study showed that labral and capsular repairs significantly reduce the rate of conversion to total hip arthroplasty (THA). Havisi emphasized the importance of restoring native anatomy for improved outcomes.<br /><br />Charlotte Langley from Dalhousie University discussed the correlation between higher quality CAM resection and better patient-reported outcomes. Her study found that a lower alpha angle post-surgery correlated with improved outcomes and a lower likelihood of revision surgery, suggesting the importance of accurate surgical techniques.<br /><br />Dr. Benjamin Dohm highlighted the shift from under-resection to over-resection over the past 14 years in patients presenting for failed hip arthroscopy. Over-resection was found to be associated with poorer outcomes, urging the need for a balance in resection techniques.<br /><br />The session also included practical presentations. Dr. Josh Harris shared his insights on achieving the perfect CAM resection, emphasizing the importance of preoperative planning and accurate execution. Dr. Andrea Spiker presented a video technique on performing periacetabular osteotomy (PAO) to treat hip dysplasia, emphasizing its effectiveness in reversing the natural history of dysplasia.<br /><br />The discussion section included case presentations and expert opinions on managing complex cases, such as a 22-year-old male tennis player with acute hip pain due to CAM lesion and acetabular retroversion, and a 25-year-old female with significant post-operative pain after two prior hip arthroscopies. The panelists debated the best approaches, including surgical and non-surgical options, emphasizing personalized treatment plans based on detailed patient assessments.<br /><br />Overall, the session provided a comprehensive overview of current challenges and advancements in hip arthroscopy and hip preservation surgeries, highlighting the importance of precise surgical techniques and individualized patient care.

Asset Caption

2:25 pm - 3:25 pm

Meta Tag

Concept Hip Arthroscopy

Concept Primary Hip Arthroscopy

Concept Patient-Reported Measure

Concept Conversion to Total Hip Arthroplasty

Concept Labral Repair

Speaker Marc R. Safran, MD

Speaker Andrea M. Spiker, MD

Speaker Mario Hevesi, MD, PhD

Speaker Charlotte Langley, BAH

Speaker Benjamin G. Domb, MD

Speaker Joshua D. Harris, MD

Speaker Robert W. Westermann, MD

Speaker Richard C. Mather, MD, MBA

Keywords

Marc R. Safran, MD

Andrea M. Spiker, MD

Mario Hevesi, MD, PhD

Charlotte Langley, BAH

Benjamin G. Domb, MD

Joshua D. Harris, MD

Robert W. Westermann, MD

Richard C. Mather, MD, MBA

hip pathologies

labral tears

femoroacetabular impingement

hip arthroscopy

total hip arthroplasty

CAM resection

periacetabular osteotomy

hip dysplasia

surgical techniques

patient outcomes

Hip Arthroscopy

Primary Hip Arthroscopy

Patient-Reported Measure

Conversion to Total Hip Arthroplasty

Labral Repair