Skip to main content
Journal cover image

Post-Related Complications in Hip Arthroscopy Are Reported Significantly Greater in Prospective Versus Retrospective Literature: A Systematic Review.

Publication ,  Journal Article
Wininger, AE; Mei-Dan, O; Ellis, TJ; Lewis, BD; Kollmorgen, RC; Echo, A; Harris, JD
Published in: Arthroscopy
May 2022

PURPOSE: To determine whether there are differences in (1) the incidence of post-related complications following hip arthroscopy between prospective and retrospective publications; and (2) between post-assisted and postless techniques. METHODS: A systematic review was performed using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines to characterize post-related complications following hip arthroscopy for central or peripheral compartment hip pathology, including femoroacetabular impingement syndrome and chondrolabral injury. Inclusion criteria were prospective and retrospective Level I-IV evidence investigations that reported results of hip arthroscopy performed in the supine position. Exclusion criteria included open or extra-articular endoscopic hip surgery. Post-related complications included pudendal nerve injury (sexual dysfunction, dyspareunia, perineal pain or numbness) or perineum/external genitalia soft-tissue injury. RESULTS: Ninety-four studies (12,212 hips; 49% male, 51% female; 52% Level IV evidence) were analyzed. Prospective studies (3,032 hips) report a greater incidence of post-related complications compared with retrospective (8,116 hips) studies (7.1% vs 1.4%, P < .001). Three studies (1,064 hips) used a postless technique and all reported a 0% incidence of pudendal neurapraxia or perineal soft tissue injury. Most pudendal nerve complications were transient, resolving by 3 months, but permanent nerve injury was reported in 4 cases. Only 19%, 22%, 7%, and 4% of studies reported a total surgery time, traction time, traction force, and bed Trendelenburg angle for their study samples, respectively. CONCLUSIONS: The incidence of post-related complications is 5 times greater in prospective (versus retrospective) hip arthroscopy literature. Postless distraction resulted in a 0% incidence of post-related injuries. LEVEL OF EVIDENCE: IV, systematic review of Level I-IV evidence.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Arthroscopy

DOI

EISSN

1526-3231

Publication Date

May 2022

Volume

38

Issue

5

Start / End Page

1658 / 1663

Location

United States

Related Subject Headings

  • Traction
  • Retrospective Studies
  • Prospective Studies
  • Peripheral Nerve Injuries
  • Orthopedics
  • Male
  • Humans
  • Hip Joint
  • Femoracetabular Impingement
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Wininger, A. E., Mei-Dan, O., Ellis, T. J., Lewis, B. D., Kollmorgen, R. C., Echo, A., & Harris, J. D. (2022). Post-Related Complications in Hip Arthroscopy Are Reported Significantly Greater in Prospective Versus Retrospective Literature: A Systematic Review. Arthroscopy, 38(5), 1658–1663. https://doi.org/10.1016/j.arthro.2021.11.045
Wininger, Austin E., Omer Mei-Dan, Thomas J. Ellis, Brian D. Lewis, Robert C. Kollmorgen, Anthony Echo, and Joshua D. Harris. “Post-Related Complications in Hip Arthroscopy Are Reported Significantly Greater in Prospective Versus Retrospective Literature: A Systematic Review.Arthroscopy 38, no. 5 (May 2022): 1658–63. https://doi.org/10.1016/j.arthro.2021.11.045.
Wininger AE, Mei-Dan O, Ellis TJ, Lewis BD, Kollmorgen RC, Echo A, et al. Post-Related Complications in Hip Arthroscopy Are Reported Significantly Greater in Prospective Versus Retrospective Literature: A Systematic Review. Arthroscopy. 2022 May;38(5):1658–63.
Wininger, Austin E., et al. “Post-Related Complications in Hip Arthroscopy Are Reported Significantly Greater in Prospective Versus Retrospective Literature: A Systematic Review.Arthroscopy, vol. 38, no. 5, May 2022, pp. 1658–63. Pubmed, doi:10.1016/j.arthro.2021.11.045.
Wininger AE, Mei-Dan O, Ellis TJ, Lewis BD, Kollmorgen RC, Echo A, Harris JD. Post-Related Complications in Hip Arthroscopy Are Reported Significantly Greater in Prospective Versus Retrospective Literature: A Systematic Review. Arthroscopy. 2022 May;38(5):1658–1663.
Journal cover image

Published In

Arthroscopy

DOI

EISSN

1526-3231

Publication Date

May 2022

Volume

38

Issue

5

Start / End Page

1658 / 1663

Location

United States

Related Subject Headings

  • Traction
  • Retrospective Studies
  • Prospective Studies
  • Peripheral Nerve Injuries
  • Orthopedics
  • Male
  • Humans
  • Hip Joint
  • Femoracetabular Impingement
  • Female