Session Overview

This ASIA session focuses on real-world decision-making and reproducible surgical techniques in hip preservation surgery. Through structured debates, video-based masterclasses, and open case discussions, the session emphasizes practical indications, technical execution, and salvage strategies frequently encountered in Asian clinical practice.

13:00 - 14:00 Module I: Pro-Con Debates (Pro 7 min, Con 7 min, Discussion & Audience Voting 16 min)

13:00 - 13:30 Debate 1: Early Hip Osteoarthritis: Hip Arthroscopy vs. Early Total Hip Arthroplasty (THA) — Where Is the Line?

Focus: Defining early OA in contemporary practice; Predictors of failure after arthroscopy; Safe indications for arthroscopy; When early THA provides better predictability and value; Patient counseling and shared decision-making

13:30 - 14:00 Debate 2: Borderline Hip Dysplasia: Arthroscopy Alone vs. Alternative or Combined Strategies — Where Do We Draw the Line?

Focus: Stability assessment beyond LCEA; Indications and limitations of arthroscopy alone; Risk factors for postoperative instability; Role of alternative or combined strategies; Long-term joint preservation

14:00 - 15:00 Module II: Surgical Masterclass: Video Techniques & Tips (20 minutes per speaker (video-based presentation 15 minutes + Q&A 5 minutes))

Concept: A stepwise, video-based masterclass covering fundamental techniques, capsular management, and salvage strategies in hip surgery

14:00 - 14:20 Masterclass I – Fundamentals

Theme: Fundamental Arthroscopic Techniques for a Smooth and Reproducible Hip Arthroscopy

Key Topics: Patient positioning and setup; Safe and efficient portal placement; Avoiding common intraoperative pitfalls; Workflow optimization; Achieving reproducibility and safety

14:20 - 14:40 Masterclass II – Capsular Management

Theme: Capsular Management in Hip Arthroscopy: Technical Tips for Stability, Mobility, and Reproducible Outcomes

Key Topics: Principles of capsulotomy and exposure; Indications for capsular closure and application; Technical pearls for reliable capsular repair; Avoiding postoperative instability and stiffness; Common technical mistakes and prevention strategies

14:40 - 15:00 Masterclass III – Salvage

Theme: Arthroscopic Management of FAI After Pelvic Osteotomy (RAO/PAO): Indications, Pitfalls, and Salvage Strategies

Key Topics: Post-osteotomy morphology and biomechanics; Indications and limits of arthroscopy after pelvic osteotomy; Technical challenges and risk management

When arthroscopy works—and when it does not; Lessons learned from failures

15:00 - 15:30 Break

15:30 - 17:00 Module III: Interactive Clinical Case Discussion (15 minutes per case (5 min presentation + 10 min discussion))

Concept: An interactive discussion focusing on challenging clinical scenarios, failed procedures, complications, and uncommon cases to promote open discussion and shared learning

Theme: Difficult, Failed, and Unusual Cases in Hip Preservation: Lessons from Asia

17:00 - 18:00 Module IV: Strategic Roadmap: Future Activities

Concept: An informal roundtable discussion to explore future directions of ISHA Asia, including leadership structure, communication, educational activities, and potential collaborative initiatives

Focus: Future direction of ISHA Asia as a regional community; Improving communication and collaboration across Asia; Educational activities such as webinars or focused courses; Exploring realistic next steps without formal decision-making