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Arthroscopy of the hip for patients with mild to moderate developmental dysplasia of the hip and femoroacetabular impingement: Outcomes following hip arthroscopy for treatment of chondrolabral damage.

作者信息

Fukui K, Trindade C A C, Briggs K K, Philippon M J

机构信息

Steadman Philippon Research Institute, 181 W. Meadow Dr. Ste 1000, 81657, USA.

The Steadman Clinic and Steadman Philippon Research Institute, 181 W. Meadow Dr. Ste 1000, 81657, USA.

出版信息

Bone Joint J. 2015 Oct;97-B(10):1316-21. doi: 10.1302/0301-620X.97B10.35303.


DOI:10.1302/0301-620X.97B10.35303
PMID:26430004
Abstract

The purpose of this study was to determine patient-reported outcomes of patients with mild to moderate developmental dysplasia of the hip (DDH) and femoroacetabular impingement (FAI) undergoing arthroscopy of the hip in the treatment of chondrolabral pathology. A total of 28 patients with a centre-edge angle between 15° and 19° were identified from an institutional database. Their mean age was 34 years (18 to 53), with 12 female and 16 male patients. All underwent labral treatment and concomitant correction of FAI. There were nine reoperations, with two patients requiring revision arthroscopy, two requiring periacetabular osteotomy and five needing total hip arthroplasty. Patients who required further major surgery were more likely to be older, male, and to have more severe DDH with a larger alpha angle and decreased joint space. At a mean follow-up of 42 months (24 to 89), the mean modified Harris hip score improved from 59 (20 to 98) to 82 (45 to 100; p < 0.001). The mean Western Ontario and McMaster Universities Osteoarthritis Index score improved from 30 (1 to 61) to 16 (0 to 43; p < 0.001). Median patient satisfaction was 9.0/10 (1 to 10). Patients reported excellent improvement in function following arthroscopy of the hip. This study shows that with proper patient selection, arthroscopy of the hip can be successful in the young patient with mild to moderate DDH and FAI.

摘要

相似文献

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Arthroscopy of the hip for patients with mild to moderate developmental dysplasia of the hip and femoroacetabular impingement: Outcomes following hip arthroscopy for treatment of chondrolabral damage.

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引用本文的文献

[1]
Arthroscopic Management of Femoroacetabular Impingement: Current Concepts.

J Clin Med. 2025-2-21

[2]
Hip preservation surgery for borderline and frank dysplasia: an overview of systematic reviews.

EFORT Open Rev. 2024-12-2

[3]
The Use of Combined Hip Arthroscopy and Periacetabular Osteotomy for Hip Dysplasia Is Increasing and Has Low Complication Rates.

Arthrosc Sports Med Rehabil. 2024-3-26

[4]
Is Prior Hip Arthroscopy Associated With Higher Complication Rates or Prolonged Opioid Claims After Total Hip Arthroplasty? A Matched Cohort Study.

Orthop J Sports Med. 2022-9-30

[5]
Biomechanical Evaluation of 4 Suture Techniques for Hip Capsular Closure.

Orthop J Sports Med. 2022-6-21

[6]
[Recent research progress of hip-preserving treatment for adolescents and adults with developmental dysplasia of the hip].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021-12-15

[7]
Arthroscopic Treatment of Femoroacetabular Impingement in Patients With and Without Borderline Developmental Dysplasia of the Hip: A Systematic Review and Meta-analysis.

Orthop J Sports Med. 2021-8-6

[8]
Revision Surgery and Progression to Total Hip Arthroplasty After Surgical Correction of Femoroacetabular Impingement: A Systematic Review.

Am J Sports Med. 2022-3

[9]
Evaluation of outcome reporting trends for femoroacetabular impingement syndrome- a systematic review.

J Exp Orthop. 2021-4-23

[10]
Radiographic and clinical characteristics associated with a positive PART (Prone Apprehension Relocation Test): a new provocative exam to elicit hip instability.

J Hip Preserv Surg. 2020-6-29

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