ArticleOrthopaedic surgery2021
Portal Setup: the Key Point in the Learning Curve for Hip Arthroscopy Technique.
Article in Orthopaedic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.
- Surgeon experience in hip arthroscopy improves operative efficiency and reduces conversion to total hip arthroplasty: A meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- Cumulative surgeon volume is associated with improved outcomes following hip arthroscopy: A national registry study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Expert Consensus on Trendelenburg Position Postless Hip Distraction Technique in Hip Arthroscopy.Orthopaedic surgery · 2026Article
- Traction-Free Arthroscopy Using an Inside-Out Technique for Treating Femoroacetabular Impingement Syndrome.Arthroscopy techniques · 2025Article
- Role and research progress of hip arthroscopy in the treatment of pre-collapse osteonecrosis of the femoral head.Frontiers in surgery · 2025Review
- Postless Distraction Technique With No Additional Equipment in Hip Arthroscopy.Arthroscopy techniques · 2024Article
- A three-dimensional (3D) printed simulator as a feasible assessment tool for evaluating hip arthroscopy skills.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo analyze the learning curve experience of hip arthroscopy based on patient demographics, surgical time, portal setup time, and postoperative complications and to find the key point in the learning curve.
methodsFrom May 2016 to February 2019, a prospective study on the learning curve experience of hip arthroscopy was performed in our hospital. We evaluated the first 50 consecutive hip arthroscopy procedures performed by a single surgeon. There were nine females and 41 males with a mean age of 30.8 years. We divide the patients into early group and late group according to the date of their operation, with each group including 25 patients. Data on patient demographics, types of procedure, surgical time, portal setup time, and postoperative complications were collected. Functional scores were assessed with the modified Harris Hip Score (mHHS).
resultsPatients were followed up for 16.4 months on average (range, 13-27 months). The early group of patients had a mean age of 35.2 years and the late group a mean age of 26.5 years. The most common procedures performed for the early group were debridement (17 patients, 68%), and in the late group, most patients underwent labral repair (18 patients, 72%). Mean total surgical time was 168 min for the early group and 143 min for the late group, and there was no statistically significant difference between two groups. The portal setup time in the early group and late group was 40.2 ± 12.4 min and 18.5 ± 6.2 min, respectively (P < 0.001), and the portal setup time was significantly longer in the early group. Further analysis of the learning curve of portal setup showed that the average portal setup time was not statistically significant changed after 30 cases. There were six complications including iatrogenic cartilage injury and iatrogenic labrum injury in the early group and five complications including perineal crush injury and nerve stretch injury in the late group. The functional score of patients in the late group was significantly higher than that in the early group during follow-up.
conclusionThe steep learning curve of hip arthroscopy is mainly caused by the challenge of portal setup and portalrelated complications were more common in the early group than in the late group. Surgical time is not an effective indicator for evaluating progress on the learning curve of hip arthroscopy.
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