Recent and Upcoming Innovation in the Technology of Hip Arthroscopy

The advancements in our understanding of hip anatomy and pathology have stimulated the innovation of new products and technologies in hip arthroscopy. Specialized patient-positioning systems can help optimize the limb distraction and joint access that is critical for accessing the hip joint. Guiding systems have been developed to reduce the risk of iatrogenic damage and improve the efficiency and safety by which the secondary portals are established. Suture anchors now commonly contain polylactic acid with varying isomer compositions that help control the rate with which these anchors are reabsorbed. The addition of composite anchors may potentially offer improved anchor-osseus fixation and degradation characteristics. Knotless anchors are now becoming available and hold the potential to improve the ease and speed of achieving stable anchor fixation. Specialized instruments, including flexible and maneuverable thermal probes, extra-long cannulas, and extra-long shavers, burs, drills, implants, and loose body retrieval devices have improved access to the hip joint and have expanded the spectrum of indications for arthroscopy of the hip. These aforementioned products and technologies are representative of an exciting period of growth and innovation in the armamentarium of tools available to surgeons versed in hip arthroscopy. This work explores some of the new products and technologies that have recently come to market in hip arthroscopy that have and potentially will continue to improve our ability to arthroscopically treat hip pathology.