Does previous hip arthroscopy negatively influence the short term clinical result of total hip replacement?

Details

Serval ID
serval:BIB_1C45B79CD952
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Does previous hip arthroscopy negatively influence the short term clinical result of total hip replacement?
Journal
Archives of Orthopaedic and Trauma Surgery
Author(s)
Zingg P.O., Schallberger A., Rüdiger H.A., Poutawera V., Dora C.
ISSN
1434-3916 (Electronic)
ISSN-L
0936-8051
Publication state
Published
Issued date
2012
Volume
132
Number
3
Pages
299-303
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
INTRODUCTION: The risk that hip preserving surgery may negatively influence the performance and outcome of subsequent total hip replacement (THR) remains a concern. The aim of this study was to identify any negative impact of previous hip arthroscopy on THR.
METHODS: Out of 1271 consecutive patients who underwent primary THR between 2005 and 2009, 18 had previously undergone ipsilateral hip arthroscopy. This study group (STG) was compared with two control groups (CG, same approach, identical implants; MCG, paired group matched for age, BMI and Charnley categories). Operative time, blood loss, evidence of heterotopic bone and implant loosening at follow-up were compared between the STG and the MCG. Follow-up WOMAC were compared between the three groups.
RESULTS: Blood loss was not found to be significantly different between the STG and MCG. The operative time was significantly less (p < 0.001) in the STG. There was no significant difference in follow-up WOMAC between the groups. No implant related complications were noted in follow-up radiographs. Two minor complications were documented for the STG and three for the MCG.
CONCLUSION: We have found no evidence that previous hip arthroscopy negatively influences the performance or short-term clinical outcome of THR.
Keywords
Adult, Aged, Arthroplasty, Replacement, Hip, Arthroscopy/adverse effects, Blood Loss, Surgical, Female, Hip Joint/surgery, Humans, Male, Middle Aged, Ossification, Heterotopic/etiology, Prosthesis Failure/etiology
Pubmed
Web of science
Create date
13/02/2012 8:02
Last modification date
20/08/2019 12:52
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