Hip Arthroscopy
Clinical Practice Guidelines

These guidelines were created in an effort to improve hip arthroscopy outcomes based on the best available evidence in the literature. They were developed and are maintained in a joint effort by the West Coast Hip Preservation Institute and our specialized research assistants. All guidelines are meant to be suggestions, as we always recommend individualized patient diagnosis and treatment in line with patient goals to provide the best possible care. The variety of topics cover common modern hip arthroscopy pathology and techniques.

Topics

  • Positioning

    Patient positioning and table selection during hip arthroscopy is a crucial aspect that can improve surgical safety and efficiency.

  • Traction

    Traction is a necessary component of hip arthroscopy, but attention to appropriate tensioning is important to avoid complications.

  • Access

    There are multiple ways to access the hip joint to perform surgery. There are advantages and disadvantages for each technique.

  • Labral Treatment

    Treatment of labral pathology may involve debridement, repair, or reconstruction. Here we evaluate the literature comparing debridement and repair.

  • Segmental Labral Reconstruction

    Segmental labral reconstruction is an option for labral pathology that only involves part of the labrum in cases where the labrum is beyond repair.

  • Circumferential Labral Reconstruction

    When the entire labrum is irrepairable, circumferential labral reconstruction may be performed to replace the entire labrum.

  • Femoroplasty

    Removal of a cam lesion, also known as femoroplasty, is a common procedure performed for patient with femoroacetabular impingement syndrome.

  • Capsular Repair

    The hip capsule is routinely incised to perform surgery. These guidelines examine whether capsular repair is necessary.

  • Capsular Plication

    Capsular plication, or tightening of the capsule, is a procedure that can be performed during arthroscopy for hip instability.

  • Open versus Arthroscopic Gluteal Repair

    Evaluation of open versus arthroscopic approaches for gluteal tendon repair.

  • Open versus Arthroscopic Hamstring Repair

    Evaluation of open versus arthoscopic approaches for hamstring repair

  • Iliopsoas Lengthening

    Iliopsoas lengthening for contracture or symptomatic tendinosis after total hip arthroplasty