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

  • A person's body part, possibly a shoulder or calf, covered with a yellowish-orange surgical drape, surrounded by a clear plastic sterile cover, indicating a medical procedure or surgery.

    Positioning

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

  • A person undergoing a medical procedure with robotic surgical tools, with medical staff in blue gowns in the background.

    Traction

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

  • A surgical procedure in progress with a patient covered in sterile drapes, surrounded by medical equipment, including a robotic surgical instrument and monitoring devices.

    Access

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

  • Close-up view through a circular scope of a soft, fluffy white bird, possibly a chicken or rooster, with a background of brown and white feathers.

    Labral Treatment

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

  • Close-up view of a transparent, curved medical instrument or device with some blue and white material inside, illuminated against a black background.

    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.

  • Close-up view of the inside of a human body, likely an endoscopic or medical image showing tissue and internal structures.

    Circumferential Labral Reconstruction

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

  • Close-up of a medical procedure showing a view through an endoscope with pink and beige tissue.

    Femoroplasty

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

  • Endoscopic view of a surgical procedure inside a body, with surgical instruments visible and tissue being operated on.

    Capsular Repair

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

  • Close-up view of the inside of a human ear, showing the ear canal and eardrum.

    Capsular Plication

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

  • Close-up view of a medical procedure, showing the inside of a human joint with soft tissues, possibly an arthroscopic image of a knee or shoulder.

    Open versus Arthroscopic Gluteal Repair

    Evaluation of open versus arthroscopic approaches for gluteal tendon repair.

  • Endoscopic view of a surgical procedure with surgical instruments inside a body cavity, showing tissue and fluids.

    Open versus Arthroscopic Hamstring Repair

    Evaluation of open versus arthoscopic approaches for hamstring repair

  • Endoscopic view of a human joint, showing cartilage, tissue, and some debris.

    Iliopsoas Lengthening

    Iliopsoas lengthening for contracture or symptomatic tendinosis after total hip arthroplasty