FP10.7 Malpractice Litigation Trends in Hip Preservation Surgery: A 30-Year National Database Analysis

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ID: 331337
2026
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Abstract
Abstract ICLA10 - Unraveling the Failure: Diagnostic Algorithms and Why Hip Preservation Fails, Auditorium A (BMCC Level 1), October 9, 2026, 10:30 - 12:30 Introduction Hip preservation surgery, including hip arthroscopy and periacetabular osteotomy (PAO), has increased dramatically over the last 30 years. Hip arthroscopy alone has increased nearly 90-fold from inception to within the last 10 years. While malpractice litigation trends have been described for orthopedic surgeries such as total hip arthroplasty, data on hip preservation surgeries are limited. The aim of this study was to characterize malpractice claims involving orthopedic surgeons performing hip preservation surgeries over the last 3 decades. Methods A nationwide legal database (Westlaw) was queried for jury verdicts and settlements related to hip preservation malpractice against orthopedic surgeons. Inclusion criteria were cases related to hip arthroscopy or PAO in which an orthopedic surgeon was listed as a defendant. Cases on all other orthopedic surgeries of the hip were excluded. Data regarding plaintiff demographics, date of the operation, type of surgery performed, malpractice allegations, damages, jury verdict, and settlement amount were collected. Results Nine cases involving orthopedic hip preservation surgery litigation from 1997 to 2013 were included. Seven (78%) involved hip arthroscopy and two (22%) involved PAO. Allegations included four (44%) cases of negligent postsurgical management, three (33%) cases of negligent surgical performance, one case (11%) of misdiagnosis leading to unnecessary surgery, and one case (11%) due to lack of informed consent regarding surgical complications. The most frequently cited complications were peripheral nerve injury (n=6) and chronic pain (n=6). Other alleged complications included unnecessary procedures and/or hospitalizations (n=4), limitations in strength or function (n=3), lasting psychological damage (n=2), and sexual dysfunction (n=1). Eight cases resulted in verdicts in favor of the defense and one verdict in favor of the plaintiff with an award amount of $2.15 million. Conclusion Despite increasing surgical volumes, malpractice litigation remains infrequent with the majority of verdicts (89%) favoring the defense. Allegations most frequently are related to post-operative management (44%) and surgical performance (33%), with peripheral nerve injury and chronic pain being the most common complications. An emphasis on thorough informed consent and vigilant postoperative monitoring may mitigate litigation risk for orthopedic surgeons.
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Authors Maclain Ridder, Sterling Cloet, Vivek Dutt, Justin J. Greiner
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Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.079
URL
https://doi.org/10.1093/jhps/hnag043.079
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