2024 AOSSM Annual Meeting Recordings no CME-Concurrent Session B: Hips Don't Lie

Video Transcription

Video Summary

The video session features a symposium titled "HIPPS Don't Lie," co-chaired by Dr. Mark Safran from Stanford University and Dr. Andrea Spiker from the University of Wisconsin. The session begins with a paper presentation by Dr. Mario Havisi on long-term outcomes of primary hip arthroscopy. He discusses the evolution of hip arthroscopy techniques, emphasizing labral and capsular management. His study analyzed outcomes over at least ten years, concluding that labral and capsular repairs significantly reduce the need for further hip surgeries.<br /><br />Charlotte Langley follows, exploring whether higher quality CAM resection correlates with better patient-reported outcomes. Her study found that a reduced alpha angle (less than 55 degrees) after CAM resection is associated with better patient outcomes, suggesting the importance of precise surgical techniques.<br /><br />Dr. Benjamin Dohm presents on the shifting trends in CAM resection failures. His analysis shows a transition from under-resection to over-resection over a 14-year period, highlighting the need for balance in surgical corrections to avoid negative outcomes associated with over-resection.<br /><br />Further into the session, Dr. Robbie Westerman discusses revising failed hip arthroscopies, stressing the importance of addressing both structural and soft tissue issues. He highlights the importance of accurate diagnosis and meticulous surgical techniques, especially in cases involving labral re-injury, dysplasia, and adhesions.<br /><br />Dr. Andrea Spiker demonstrates a combined approach of hip arthroscopy with periacetabular osteotomy (PAO) for treating hip dysplasia. Her case showcases the surgical steps and emphasizes the importance of correcting multiple anatomical abnormalities to achieve optimal outcomes.<br /><br />The panel then discusses two complex cases involving young athletes with hip issues. They debate the merits of conservative versus surgical approaches, the importance of precise diagnostic imaging, and the need for comprehensive treatment plans that address both bone and soft-tissue abnormalities. The session concludes with an emphasis on avoiding preventable surgical complications and ensuring multi-disciplinary collaboration for the best patient outcomes.

Asset Caption

2:25 pm - 3:25 pm

Meta Tag

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

HIPPS Don't Lie

hip arthroscopy

labral management

capsular repair

CAM resection

alpha angle

surgical techniques

hip dysplasia

periacetabular osteotomy

patient outcomes

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