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Surgery of the Hip
Published in Timothy W R Briggs, Jonathan Miles, William Aston, Heledd Havard, Daud TS Chou, Operative Orthopaedics, 2020
Daud TS Chou, Jonathan Miles, John Skinner
Hip arthroscopy is indicated in a variety of painful conditions of the hip. The most frequent are Femeroacetabular impingementSeptic arthritis of the hip jointOsteoarthritisLabral pathologyOsteochondral defectRemoval of loose bodiesSynovectomy or synovial biopsy
Emerging concepts in arthroscopic hip preservation surgery: Labral reconstruction and capsular preservation
Published in K. Mohan Iyer, Hip Preservation Techniques, 2019
Victoria Das, Michael B. Ellman, Sanjeev Bhatia
The aim of this chapter is to review two emerging concepts in hip arthroscopy: (i) labral reconstruction and (ii) capsular preservation. We will elucidate the important biomechanical evidence for and against each procedure, pertinent clinical outcomes, and the authors’ current indications for the aforementioned techniques.
Advances in Hip Arthroscopy
Published in K. Mohan Iyer, Hip Joint in Adults: Advances and Developments, 2018
Hip arthroscopy is a less invasive alternative to various hip interventions that would otherwise require a major open procedure, including surgical dislocation of the hip. In addition, advancement in imaging and arthroscopic techniques allows surgeons to address intra-articular derangements that were previously undiagnosed or untreated. In 1802 Dr Phillipp Bozzini and in 1931 Dr Michael Burman demonstrated the arthroscopic technique on cadaveric hip joints, and its first clinical application was in 1939 by Dr Kenji Takagi for infection (suppurative and tubercular arthritis). He published it in the Journal of Japanese Orthopedic Association in 1939. In the last decade arthroscopic techniques have been used to deal with various hip pathologies with increasing success.
A scoping review of postoperative return to sport criteria and protocols for patients with femoroacetabular impingement syndrome
Published in The Physician and Sportsmedicine, 2023
Trevor Day, Nicholas Pasic, Laura Churchill, Dianne Bryant, Ryan Degen
Titles and abstracts of articles found in our initial search strategy were reviewed and assessed for inclusion by reviewers (NSP and LKC), independently, using Covidence (Covidence systematic review software, Veritas Health Innovation, Melbourne, Australia) according to the PRISMA 2020 guidelines[14]. Conflicts were resolved by a third reviewer (RD). Studies were eligible for full-text review if they included all the following: 1) diagnosis of intra-articular hip pathology, 2) operative intervention in the form of hip arthroscopy, 3) a return to sport rehabilitation protocol, and 4) objective outcome measures. A full-text review was then conducted by two separate reviewers (TD and NSP), independently, using Microsoft Excel (Microsoft Excel 2017; Microsoft, Redmond, WA). Studies were excluded if they: 1) did not include patients diagnosed with FAIS, 2) were unavailable for full-text review, 3) were not written in English, 4) did not describe the return to sport protocol or activity criteria, and/or 5) did not use validated outcome measures. Any conflicts were resolved by consensus of a third reviewer (RD). Additionally, the reference list from each article was reviewed for any potentially relevant papers to ensure the completeness of our initial search. Study type was not an inclusion or exclusion criteria
Associations between preoperative depression and opioid use after anterior cruciate ligament reconstruction and concomitant procedures
Published in The Physician and Sportsmedicine, 2021
Matthew J. Best, Andrew B. Harris, Jessica M. Mohler, John H. Wilckens
We found that, although patients with preoperative depression had greater odds of preoperative opioid use and of obtaining opioid refills, they did not have greater postoperative use than patients without depression. Westermann et al. evaluated approximately 1,200 patients undergoing hip arthroscopy and found that up to 25% of the patients took opioids preoperatively, which is a higher rate than we found in our study [30]. Similar to our findings, they also showed that patients with depression had higher rates of preoperative opioid use than those without depression. However, contrary to our findings, they identified depression as a risk factor for prolonged opioid use after surgery [30]. Differences in patient characteristics may contribute to the differences in these findings. The mean patient age in their study was more than 50 years, which is older than our cohort, for whom the mean age was 35. This reflects the younger and possibly healthier status of patients undergoing ACL reconstruction compared with hip arthroscopy.
Prior hip arthroscopy does not affect 1-year patient-reported outcomes following total hip arthroplasty: a register-based matched case-control study of 675 patients
Published in Acta Orthopaedica, 2021
Ida Lindman, Jonatan Nåtman, Axel Öhlin, Karin Svensson Malchau, Louise Karlsson, Maziar Mohaddes, Ola Rolfson, Mikael Sansone
It has further been discussed whether arthroscopy for FAIS with concomitant OA could prevent the development of OA and the need for a THA or increase its progression (Ng et al. 2010, Domb et al. 2017). Most studies report improved clinical outcomes for patients undergoing hip arthroscopy for FAIS with concomitant OA (Sansone et al. 2016). However, the indication of hip arthroscopy for OA is debated (Kemp et al. 2015). Nevertheless, patients with severe OA and higher age at the time of hip arthroscopy have been shown to have inferior outcomes and a higher risk of undergoing a THA (Kemp et al. 2015). A previous study found a conversion rate of 68% within 2 years and an increased risk of revision and reoperation in patients undergoing hip arthroscopy, though the indication for the patients in that study was OA (Malahias et al. 2020). The main indication for all patients undergoing arthroscopic surgery in our study was FAIS.