IC202

Hip Arthroscopy - My Worst Day in the Operating Room: What Happened and How it Changed My Practice

Travis Maak MD; Richard C. Mather, III MD; Shane J. Nho MD, MS; Marc J. Philippon MD; Michael J. Salata MD

Course Description:

Hip arthroscopy is a rapidly growing and evolving field in orthopaedic sports medicine. The ability to incorporate this field into the general sports practice is highly attractive and desirable, as this allows the orthopaedic sports surgeon to treat a unique young, athletic pathologic spectrum. Given this, hip arthroscopy has expanded to allow treatment of more complex pathologies and has been used with increasing frequency throughout the US and internationally. As hip arthroscopy surgical volumes increase, it is of paramount importance to know and identify the intraoperative pitfalls and complications that occur - even in a high-volume hip arthroscopy surgical practice. It is of equal, if not higher importance to understand how to avoid and manage these complications when they occur. This course will specifically focus on actual unplanned intraoperative worst day in the OR scenarios that have occurred in the high-volume hip arthroscopy practices of the course faculty. Specifically, the discussion will include a detailed description of the worst day in the operating room for each of the presenters, how the issue was identified and addressed, and how this experience changed future practice for the faculty. This will be a case-based learning environment in which the case will be presented followed by the ensuing 'Worst Day in the OR' and the subsequent aftermath and related practice changing decisions.

Course Objectives:

• At the completion of this session, participants should be able to identify the factors that contributed to the creation of the hip arthroscopy problem and explain why these factors were not recognized.
• At the completion of this session, participants should be able to develop a pre-operative plan to avoid or mitigate the risk of creating or encountering the presented surgical complications.
• At the completion of this session, participants should be able to adequately address and correct these surgical complications if or when they are encountered.
• At the completion of this session, participants should be able to summarize the most effective techniques that were employed to change practice to avoid these surgical issues in their own clinical practices.

• Travis  G. Maak MD
• Richard C. Mather MD
• Shane Jay Nho MD, MS
• Marc J. Philippon MD
• Michael J. Salata MD