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My Hip Arthroscopy Failed. Is There Still Hope?

The initial decision to undergo surgery wasn’t one that you made lightly, but you figured that hip arthroscopy was your best path forward to moving again without difficulty.

While hip arthroscopies enjoy an enviable success rate, which explains why the number of procedures has jumped by 600% in the last 15 years, there are failures. By the numbers, one analysis reports that hip arthroscopy revision rates range between 4% and 6.3%.

If you fall into these low numbers, you’ve come to the right place. At Western Orthopaedics, we’re pleased to have a leading hip preservation expert on our team — Dr. Brian White. Not only is Dr. White experienced in hip arthroscopies — he performs about 430 per year — but 100 of these procedures are revision hip arthroscopies with labral reconstruction.

So, if your hip arthroscopy has failed, read on to learn about the best way to move forward.

Reasons why hip arthroscopy can fail

Most hip arthroscopy procedures are performed to address femoroacetabular impingement (FAI) and labral tears.

There are many reasons why primary hip arthroscopies can fail, such as:

In some cases, the initial diagnosis was incorrect, so the hip arthroscopy didn’t solve the real problem, which results in ongoing hip pain.

Next steps after failed hip arthroscopy

As we mentioned, Dr White specializes in revision hip arthroscopies, which makes him an excellent choice if your primary hip arthroscopy didn’t do the job.

When you see Dr. White for a failed hip arthroscopy, he spends considerable time evaluating the initial procedure to see if it fell short in resolving your hip issue. If he identifies an issue, such as an unresolved labral tear, he can tackle the problem during a revision procedure.

Dr. White excels in solving hip issues through advanced hip preservation techniques, all with an eye toward avoiding hip replacement, which he views as a last resort measure. For example, Dr. White is a leading expert in allograft labral reconstruction, where he uses a tissue transplant to repair and strengthen your labrum. This approach not only provides superior functional results, but there’s also less pain with donor tissue.

While hip preservation is Dr. White’s goal, if your hip arthroscopy failure stems from an irreversible preexisting condition, such as advanced osteoarthritis, Dr. White may recommend a conversion to a hip replacement instead of a revision surgery. 

As well, if you're struggling with obesity, Dr. White may recommend losing weight before embarking on revisional surgery or a hip replacement. Losing weight can greatly improve your outcome moving forward, as there’s less pressure on your hip joints.

The best way to figure out your next steps after a failed hip arthroscopy is to sit down with Dr. White. To get that ball rolling, please contact one of our offices in Arvada or Denver, Colorado, to set up a consultation with Dr. White.

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