What’s New in Hip Arthroscopy


Alessandro Aprato, MD

Series: Orthopedic Research and Therapy

BISAC: MED085000

Hip arthroscopy has seen significant developments in the last 25 years. Until a decade ago, it was considered an emerging surgical technique, but today it is an established and effective treatment for various hip pathologies.

The development of hip arthroscopy is strictly linked with the evolution of the concept of femoroacetabular impingement. The description of this new pathology and the open surgical treatment described by Professor Ganz were actually the basis for the development of hip arthroscopy.

Femoroacetabular impingement is, nowadays, the main indication for hip arthroscopy. Femoroacetabular syndrome should be regarded as a triad of symptoms, clinical signs and imaging findings. The goal of the treatment, in these cases, should not be simple anatomic correction but to obtain a hip without impingement in the normal range of motion. In addition, labrum, cartilage, capsule and soft tissues should be evaluated and lesions should be treated. In particular, the role of the labrum has been investigated during the last several years and several techniques for labral repair and labral reconstruction have been developed.

Despite the progress in diagnosis and treatment of several hip pathologies, the exact indications of hip arthroscopy are still debated. Defining the limits for arthroscopic treatment in cases of advanced osteoarthritis, bone deformity and periarticular soft tissues pathologies is one of the goals of current investigations concerning hip arthroscopy.

This book is intended as a guide to the innovation and development in hip arthroscopy over the last 10 years ranging from an update of the surgical indications to rehabilitation after hip arthroscopy. In every chapter, an expert in hip arthroscopy discusses a specific subject focusing on latest trends and surgical techniques. Attention is focused especially on surgical indications, patient positioning and approaches, labral and capsular management, ischiofemoral impingement management, extra-articular pathologies, trauma and finally post-operative rehabilitation.

Table of Contents


Chapter 1. Introduction
(Alessandro Aprato, MD, Matteo Olivero, MD, and Alessandro Massè, MD – University of Turin, Turin, Italy)

Chapter 2. FAI Indications: Anything New?
(Nicola Santori – Department of Orthopedics, Anca Surgical Center, Rome, Italy)

Chapter 3. Postless-Technique in Hip Arthroscopy
(Alessandro Aprato, MD, Monica Bonera, MD, Matteo Olivero, MD, Gennaro Parisi, MD, and Alessandro Massè, MD – University of Turin, Turin, Italy)

Chapter 4. Access to the Hip: What’s New?
(Paolo Di Benedetto MD, PhD, Fulvio Ferraresi, MD, Francesco Mancuso, MD, Michele M. Buttironi, MD and Araldo Causero, MD – Clinica Ortopedica, Azienda Sanitaria Universitaria Friuli Central, Udine, Italy, et al.)

Chapter 5. Labral Repair: Anything New?
(Alberto Costantini, MD, Karen Briggs, PhD, Andrea De Vita, MD, and Marc Philippon, MD – Concordia Hospital, Roma, Italy, et al.)

Chapter 6. Labral Reconstruction (Graft)
(Gennaro Fiorentino, MD, and Francesco Catellani, MD – Humanitas Gavazzeni, Bergamo, Italy)

Chapter 7. Capsular Repair
(Christian Carulli and Matteo Innocenti – Orthopaedic Clinic, University of Florence, Florence, Italy)

Chapter 8. Ischio-Femoral Impingement
(Manlio Panascì, MD, Giovanni Leo, MD, Raul Zini, MD, and Michele Conati, MD – Department of Orthopedic Surgery San Carlo di Nancy, GVM Care and Research, Rome, Italy, et al.)

Chapter 9. Gluteus Medius Repair
(Federico Della Rocca, MD and Alessio D’Addona, MD – U.O.C. Hip Surgery and prosthetic surgery, I.R.C.C.S. Humanitas Research Hospital, Rozzano, MI, Italy)

Chapter 10. Maximus Release-Polesello Technique: The Endoscopic Gluteus Maximus Tendon Release
(Filippo Randelli, MD, Manuel Giovanni Mazzoleni, MD, Alfonso Liccardi, MD, Martino Viganò, MD,
Vittorio Calvisi, MD, and Alberto Fioruzzi, MD – Hip Department (CAD) Gaetano Pini – CTO Orthopedic Institute, University of Milan, Milan, Italy, et al.)

Chapter 11. Posterior Hip Pain
(Michele Conati, MD, and Antonio Loro, MD – Department of Orthopedic Surgery, Casa di Cura San Francesco, Verona, Italy, et al.)

Chapter 12. Hip Arthroscopy in Trauma
(Alessandro Aprato, MD, Michele Reboli, MD, Matteo Olivero, MD, and Alessandro Massè, MD – Università degli Studi di Torino, Torino, Italy)

Chapter 13. Rehabilitation After Hip Arthroscopy: What’s New?
(Gian Nicola Bisciotti, Alessandro Bisciotti, Andrea Bisciotti, Manlio Panascì and Raul Zini – Paris Saint Germain FC, Paris, France, et al.)


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