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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 1/2017

01-01-2017 | Hip

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

Authors: Marco Yeung, Moin Khan, Dale Williams, Olufemi R. Ayeni

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 1/2017

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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.
Literature
1.
go back to reference Austin DC, Horneff JG, Kelly JD (2014) Anterior hip dislocation 5 months after hip arthroscopy. Arthroscopy 30(10):1380–1382CrossRefPubMed Austin DC, Horneff JG, Kelly JD (2014) Anterior hip dislocation 5 months after hip arthroscopy. Arthroscopy 30(10):1380–1382CrossRefPubMed
2.
go back to reference Ayeni OR, Alradwan H, de Sa D, Philippon MJ (2014) The hip labrum reconstruction: indications and outcomes—a systematic review. Knee Surg Sports Traumatol Arthrosc 22(4):737–743CrossRefPubMed Ayeni OR, Alradwan H, de Sa D, Philippon MJ (2014) The hip labrum reconstruction: indications and outcomes—a systematic review. Knee Surg Sports Traumatol Arthrosc 22(4):737–743CrossRefPubMed
3.
go back to reference Benali Y, Katthagen BD (2009) Hip subluxation as a complication of arthroscopic debridement. Arthroscopy 25(4):405–407CrossRefPubMed Benali Y, Katthagen BD (2009) Hip subluxation as a complication of arthroscopic debridement. Arthroscopy 25(4):405–407CrossRefPubMed
4.
go back to reference Bozic KJ, Chan V, Valone FH, Feeley BT, Vail TP (2013) Trends in hip arthroscopy utilization in the United States. J Arthroplasty 28(8 Suppl):140–143CrossRefPubMed Bozic KJ, Chan V, Valone FH, Feeley BT, Vail TP (2013) Trends in hip arthroscopy utilization in the United States. J Arthroplasty 28(8 Suppl):140–143CrossRefPubMed
5.
go back to reference Clarke MT, Arora A, Villar RN (2003) Hip arthroscopy: complications in 1054 cases. Clin Orthop Relat Res 406:84–88CrossRef Clarke MT, Arora A, Villar RN (2003) Hip arthroscopy: complications in 1054 cases. Clin Orthop Relat Res 406:84–88CrossRef
6.
go back to reference Dierckman BD, Guanche CA (2014) Anterior hip capsuloligamentous reconstruction for recurrent instability after hip arthroscopy. Am J Orthop 43(12):E319–E323PubMed Dierckman BD, Guanche CA (2014) Anterior hip capsuloligamentous reconstruction for recurrent instability after hip arthroscopy. Am J Orthop 43(12):E319–E323PubMed
7.
go back to reference Foulk DM, Mullis BH (2010) Hip dislocation: evaluation and management. J Am Acad Orthop Surg 18(4):199–209CrossRefPubMed Foulk DM, Mullis BH (2010) Hip dislocation: evaluation and management. J Am Acad Orthop Surg 18(4):199–209CrossRefPubMed
8.
go back to reference Harris JD, McCormick FM, Abrams GD, Gupta AK, Ellis TJ, Bach BR et al (2013) Complications and reoperations during and after hip arthroscopy: a systematic review of 92 studies and more than 6,000 patients. Arthroscopy 29(3):589–595CrossRefPubMed Harris JD, McCormick FM, Abrams GD, Gupta AK, Ellis TJ, Bach BR et al (2013) Complications and reoperations during and after hip arthroscopy: a systematic review of 92 studies and more than 6,000 patients. Arthroscopy 29(3):589–595CrossRefPubMed
9.
go back to reference Khan M, Ayeni OR, Madden K, Bedi A, Ranawat A, Kelly BT, Sancheti P, Ejnisman L, Tsiridis E, Bhandari M (2016) Femoroacetabular Impingement: have we hit a global tipping point in diagnosis and treatment? Results from the InterNational Femoroacetabular Impingement Optimal Care Update Survey (IN FOCUS). Arthroscopy 32(5):779–787CrossRefPubMed Khan M, Ayeni OR, Madden K, Bedi A, Ranawat A, Kelly BT, Sancheti P, Ejnisman L, Tsiridis E, Bhandari M (2016) Femoroacetabular Impingement: have we hit a global tipping point in diagnosis and treatment? Results from the InterNational Femoroacetabular Impingement Optimal Care Update Survey (IN FOCUS). Arthroscopy 32(5):779–787CrossRefPubMed
10.
go back to reference Khan M, Bedi A, Fu F, Karlsson J, Ayeni OR, Bhandari M (2016) New perspectives on femoroacetabular impingement syndrome. Nat Rev Rheumatol 12(5):303–310CrossRefPubMed Khan M, Bedi A, Fu F, Karlsson J, Ayeni OR, Bhandari M (2016) New perspectives on femoroacetabular impingement syndrome. Nat Rev Rheumatol 12(5):303–310CrossRefPubMed
11.
go back to reference Kowalczuk M, Bhandari M, Farrokhyar F, Wong I, Chahal M, Neely S et al (2013) Complications following hip arthroscopy: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc 21(7):1669–1675CrossRefPubMed Kowalczuk M, Bhandari M, Farrokhyar F, Wong I, Chahal M, Neely S et al (2013) Complications following hip arthroscopy: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc 21(7):1669–1675CrossRefPubMed
12.
go back to reference Matsuda DK (2009) Acute iatrogenic dislocation following hip impingement arthroscopic surgery. Arthroscopy 25(4):400–404CrossRefPubMed Matsuda DK (2009) Acute iatrogenic dislocation following hip impingement arthroscopic surgery. Arthroscopy 25(4):400–404CrossRefPubMed
13.
go back to reference Mei-Dan O, McConkey MO, Brick M (2012) Catastrophic failure of hip arthroscopy due to iatrogenic instability: can partial division of the ligamentum teres and iliofemoral ligament cause subluxation? Arthroscopy 28(3):440–445CrossRefPubMed Mei-Dan O, McConkey MO, Brick M (2012) Catastrophic failure of hip arthroscopy due to iatrogenic instability: can partial division of the ligamentum teres and iliofemoral ligament cause subluxation? Arthroscopy 28(3):440–445CrossRefPubMed
14.
go back to reference Ranawat AS, McClincy M, Sekiya JK (2009) Anterior dislocation of the hip after arthroscopy in a patient with capsular laxity of the hip. A case report. J Bone Joint Surg Am 91(1):192–197CrossRefPubMed Ranawat AS, McClincy M, Sekiya JK (2009) Anterior dislocation of the hip after arthroscopy in a patient with capsular laxity of the hip. A case report. J Bone Joint Surg Am 91(1):192–197CrossRefPubMed
15.
go back to reference Rosenbaum A, Roberts T, Flaherty M, Phillips N, Patel N, Das P (2013) Posterior dislocation of the hip following arthroscopy—a case report and discussion. Bull Hosp Jt Dis 72(2):181–184 Rosenbaum A, Roberts T, Flaherty M, Phillips N, Patel N, Das P (2013) Posterior dislocation of the hip following arthroscopy—a case report and discussion. Bull Hosp Jt Dis 72(2):181–184
16.
go back to reference Sansone M, Ahldén M, Jónasson P, Swärd L, Eriksson T, Karlsson J (2013) Total dislocation of the hip joint after arthroscopy and ileopsoas tenotomy. Knee Surg Sports Traumatol Arthrosc 21(2):420–423CrossRefPubMed Sansone M, Ahldén M, Jónasson P, Swärd L, Eriksson T, Karlsson J (2013) Total dislocation of the hip joint after arthroscopy and ileopsoas tenotomy. Knee Surg Sports Traumatol Arthrosc 21(2):420–423CrossRefPubMed
17.
go back to reference Shu BR, Safran MR (2011) Hip instability: anatomic and clinical considerations of traumatic and atraumatic instability. Clin Sports Med 30(2):349–367CrossRefPubMed Shu BR, Safran MR (2011) Hip instability: anatomic and clinical considerations of traumatic and atraumatic instability. Clin Sports Med 30(2):349–367CrossRefPubMed
18.
go back to reference Telleria JJM, Lindsey DP, Giori NJ, Safran MR (2014) A quantitative assessment of the insertional footprints of the hip joint capsular ligaments and their spanning fibers for reconstruction. Clin Anat 27:489–497CrossRefPubMed Telleria JJM, Lindsey DP, Giori NJ, Safran MR (2014) A quantitative assessment of the insertional footprints of the hip joint capsular ligaments and their spanning fibers for reconstruction. Clin Anat 27:489–497CrossRefPubMed
19.
go back to reference Wylie JD, Beckmann JT, Aoki SK (2015) Dislocation after hip arthroscopy for cam-type femoroacetabular impingement leading to progressive arthritis. JBJS Case Connect 5:e80CrossRef Wylie JD, Beckmann JT, Aoki SK (2015) Dislocation after hip arthroscopy for cam-type femoroacetabular impingement leading to progressive arthritis. JBJS Case Connect 5:e80CrossRef
20.
go back to reference Yeung M, Memon M, Simunovic N, Belzile E, Philippon MJ, Ayeni OR (2016) Gross instability after hip arthroscopy: an analysis of case reports evaluating surgical and patient factors. Arthroscopy 32(6):1196–1204CrossRefPubMed Yeung M, Memon M, Simunovic N, Belzile E, Philippon MJ, Ayeni OR (2016) Gross instability after hip arthroscopy: an analysis of case reports evaluating surgical and patient factors. Arthroscopy 32(6):1196–1204CrossRefPubMed
Metadata
Title
Anterior hip capsuloligamentous reconstruction with Achilles allograft following gross hip instability post-arthroscopy
Authors
Marco Yeung
Moin Khan
Dale Williams
Olufemi R. Ayeni
Publication date
01-01-2017
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 1/2017
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-016-4258-z

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