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Review
. 2025;45(1):179-186.

Perioperative Management of Hip Arthroscopy

Affiliations
Review

Perioperative Management of Hip Arthroscopy

Christian E Athanasian et al. Iowa Orthop J. 2025.

Abstract

Hip arthroscopy is a surgical procedure commonly used for hip pathologies including femoroacetabular impingement (FAI). Perioperative considerations in hip arthroscopy have not been explored as thoroughly as more common orthopedic procedures. Preferences vary between surgeons, and there is no current consensus regarding various aspects of perioperative management. Utilization of traction, patient positioning, type of anesthesia, regional nerve blocks, as well as the use of antibiotic prophylaxis and tranexamic acid must be considered. This review will summarize the current literature on this topic, identify recent techniques that have demonstrated promise, and provide suggested direction for future research. Level of Evidence: IV.

Keywords: anesthesia; femoroacetabular impingement; hip arthroscopy; perioperative management.

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Conflict of interest statement

Disclosures: The authors report no potential conflicts of interest related to this study.

References

    1. Zusmanovich M, Haselman W, Serrano B, Banffy M. The Incidence of Hip Arthroscopy in Patients With Femoroacetabular Impingement Syndrome and Labral Pathology Increased by 85% Between 2011 and 2018 in the United States. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2022;38(1):82–87. doi: 10.1016/j.arthro.2021.04.049. doi: - DOI - PubMed
    1. Griffin DR, Dickenson EJ, O’Donnell J, et al. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. Br J Sports Med. 2016;50(19):11691176. doi: 10.1136/bjsports-2016-096743. doi: - DOI - PubMed
    1. Ross JR, Larson CM, Bedi A. Indications for Hip Arthroscopy. Sports Health. 2017;9(5):402–413. doi: 10.1177/1941738117712675. doi: - DOI - PMC - PubMed
    1. Ganz R, Parvizi J, Beck M, Leunig M, Nötzli H, Siebenrock KA. Femoroacetabular Impingement: A Cause for Osteoarthritis of the Hip. Clinical Orthopaedics and Related Research®. 2003;417:112. doi: 10.1097/01.blo.0000096804.78689.c2. doi: - DOI - PubMed
    1. Ramkumar PN, Olsen RJ, Shaikh HJF, Nawabi DH, Kelly BT. Modern Hip Arthroscopy for FAIS May Delay the Natural History of Osteoarthritis in 25% of Patients: A 12-Year Follow-up Analysis. Am J Sports Med. 2024;52(5):1137–1143. doi: 10.1177/03635465241232154. doi: - DOI - PubMed

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