From the Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ont.
Can J Surg. 2013 Dec;56(6):422-6. doi: 10.1503/cjs.021712.
The use of hip arthroscopy has been steadily rising as technology, experience and surgical education continue to advance. Previous reports of the complication rate associated with hip arthroscopy have varied. The purpose of this study was to report our experience with hip arthroscopy complications at a single Canadian institution (McMaster University).
We performed a retrospective chart review of 2 hip arthroscopists at the same institution to identify patients who had undergone the index surgery and had been followed for a minimum of 6 months postoperatively. We used a standard data entry form to collect information on patient demographic and clinical characteristics, including age, sex, surgical indication and type of complication if any.
A total of 211 patients underwent 236 hip arthroscopies. The mean age at time of surgery was 37 ± 13 years and mean follow-up was 394 ± 216.5 days. The overall complication rate associated with hip arthroscopy was 4.2% (95% confidence interval 2.3%-7.6%). We identified 4 major and 6 minor complications.
Overall, hip arthroscopy appears to be safe, with minor complications occurring more frequently than major ones. However, surgeons should recognize the possibility of serious complications associated with this procedure. Future research should focus on prospective designs looking for potential prognostic factors associated with hip arthroscopy complications.
随着技术、经验和外科教育的不断进步，髋关节镜检查的应用稳步上升。先前髋关节镜检查相关并发症发生率的报告有所不同。本研究的目的是报告在加拿大一家医疗机构（麦克马斯特大学）进行髋关节镜检查并发症的经验。
我们对同一家医疗机构的 2 位髋关节镜手术医生进行了回顾性图表审查，以确定接受过指数手术且术后至少随访 6 个月的患者。我们使用标准的数据录入表收集患者的人口统计学和临床特征信息，包括年龄、性别、手术指征以及任何类型的并发症。
共有 211 名患者接受了 236 次髋关节镜手术。手术时的平均年龄为 37 ± 13 岁，平均随访时间为 394 ± 216.5 天。髋关节镜检查相关的总体并发症发生率为 4.2%（95%置信区间 2.3%-7.6%）。我们确定了 4 例主要并发症和 6 例次要并发症。
总体而言，髋关节镜检查似乎是安全的，小并发症比大并发症更常见。然而，外科医生应该认识到与该手术相关的严重并发症的可能性。未来的研究应侧重于前瞻性设计，寻找与髋关节镜检查并发症相关的潜在预后因素。
