This case series from Philippon et al. characterizes why 37 patients underwent revision hip arthroscopy at a single major referral center between 2005 and 2006, examining preoperative findings, intraoperative pathology, and early postoperative outcomes to identify the dominant drivers of hip arthroscopy failure.
When a patient returns with persistent hip pain after arthroscopy, assume unaddressed FAI until proven otherwise — 97% of revision cases in this series had it.
When evaluating a revision candidate, preoperative abduction deficit and Kellgren-Lawrence grade ≥3 OA are red flags for poor outcomes; an mHHS below 30 should prompt serious discussion of THA over re-arthroscopy.
This case series from Philippon et al. characterizes why 37 patients underwent revision hip arthroscopy at a single major referral center between 2005 and 2006, examining preoperative findings, intraoperative pathology, and early postoperative outcomes to identify the dominant drivers of hip arthroscopy failure.
When a patient returns with persistent hip pain after arthroscopy, assume unaddressed FAI until proven otherwise — 97% of revision cases in this series had it.
When evaluating a revision candidate, preoperative abduction deficit and Kellgren-Lawrence grade ≥3 OA are red flags for poor outcomes; an mHHS below 30 should prompt serious discussion of THA over re-arthroscopy.