Abstract
We would like to present our experience with hip arthroscopy done in a dorsal decubitus traction table with three standart portals. In a period of 24 months we operated 60 hips (55 patients) with a multitude of patologies. There were 30 men and 25 women with a mean age of 33,4 years old. The mean follow-up was 6 months. Labral tears were found in 20 scopes, associated with arthrosis in 4 cases and ligamentus teres tear in 2 cases. We did hip scopes in 10 total joint replacements to evaluate infection ( 5 cases), to treat acute infection ( 2 cases) and to evaluate pain with no apparent etiology (3 cases). Eigth cases were done after a hip dislocation, to evaluate and compare the arthroscopy with CT scans and MRI. In three of these cases we extracted bone fragments from within the joint. We had two cases of gunshot projectiles that were extractes successfully. Three cases were done in acute hip pyoartrosis. We had a 16% complication rate, mainly in the 25 first cases (pudendal nerve apraxia in 4 cases, condral flap tears in 4 cases, broken instrumental in 3 cases, worsening of syntoms in 2 cases, genital aedema in 2 cases, and others in 4 cases). The preliminary results showed an improving in Harris hip score in 57% of the patients. The results are encouraging and we must stress that there is a learning curve that is long, but hip arthroscopy is going to be an important and standart procedure in the very near future for hip surgeons.
Theses abstracts were prepared by Professor Roger Lemaire. Correspondence should be addressed to EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
