Anterior hip capsuloligamentous reconstruction with Achilles allograft following gross hip instability post-arthroscopy

Knee Surg Sports Traumatol Arthrosc. 2017 Jan;25(1):3-8. doi: 10.1007/s00167-016-4258-z. Epub 2016 Aug 4.

Abstract

The increasing use of hip arthroscopy has led to further development in our understanding of hip anatomy and potential post-operative complications. Iatrogenic gross hip instability following hip arthroscopy is a concerning complication described in recent orthopaedic literature. Post-arthroscopy hip instability is thought to be multifactorial, related to a variety of patient, surgical and post-operative factors. Given its infrequency, there is scarcity of literature describing appropriate surgical management and operative technique for addressing this instability. This study reports a case of gross hip instability following hip arthroscopy, describing a novel technique of management through anterior hip capsuloligamentous reconstruction with Achilles tendon allograft. Level of evidence V, Case Study.

Keywords: Complications; Hip arthroscopy; Hip instability; Hip reconstruction.

Publication types

  • Case Reports

MeSH terms

  • Achilles Tendon / transplantation
  • Adult
  • Arthroscopy / adverse effects*
  • Dancing / injuries*
  • Female
  • Femoracetabular Impingement / etiology
  • Femoracetabular Impingement / surgery*
  • Hip Dislocation / etiology
  • Hip Dislocation / surgery*
  • Humans
  • Joint Capsule / surgery
  • Ligaments, Articular / surgery
  • Postoperative Complications / surgery*
  • Transplantation, Autologous