Reasons for and functional results of repeated hip arthroscopy: A continuous prospective study of 17 revisions out of 295 primary hip arthroscopies at mean 28months' follow-up.

Détails

ID Serval
serval:BIB_4A1ECAAC1291
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Reasons for and functional results of repeated hip arthroscopy: A continuous prospective study of 17 revisions out of 295 primary hip arthroscopies at mean 28months' follow-up.
Périodique
Orthopaedics & traumatology, surgery & research
Auteur(s)
Tissot C., Merlini L., Mercier M., Bonin N.
ISSN
1877-0568 (Electronic)
ISSN-L
1877-0568
Statut éditorial
Publié
Date de publication
09/2017
Peer-reviewed
Oui
Volume
103
Numéro
5
Pages
645-649
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The rate of iterative arthroscopy has been increasing over the last decade as the technique has grown. The results of and reasons for these revision procedures, however, are not exactly known. We therefore conducted a prospective study to shed light on: 1) functional results and patient satisfaction following repeated arthroscopy, and 2) the relevant indications.
Functional scores and patient satisfaction increase following repeated arthroscopy. MATERIALS AND METHOD: A single-center continuous prospective study without control group included patients undergoing repeated hip arthroscopy between September 2010 and September 2014, with a mean 28months' follow-up (median, 23.3months; range, 12-62months). Preoperative and follow-up functional assessment used the modified Harris hip, WOMAC and Christensen (NHAS) questionnaires, and a satisfaction scale. On etiological analysis, repeated arthroscopy was indicated if a cause of recurrent or persistent pain accessible to arthroscopic treatment was identified.
Seventeen patients were included out of 295 primary arthroscopies (5.7%): 9 male, 8 female; median age, 29.6years (range, 16-48years). Indications for primary arthroscopy comprised 13 cases of femoroacetabular impingement, 3 labrum lesions with instability, 1 chondromatosis and 1 case of osteoarthritis. Eleven of the 17 primary lesions showed persistence, including 9 of the 13 cases of femoroacetabular impingement. There were 3 failures in 17 repeated arthroscopies. All functional scores improved, with a gain of 7 points (P<0.06) on modified Harris hip score, 25 points (P<0.0006) on WOMAC score, and 27 points (P<0.001) on NHAS score. Ten of the 17 patients were satisfied or very satisfied with the repeated arthroscopy (59%).
Although less good than on primary arthroscopy, functional results on repeated hip arthroscopy were satisfactory in the short term. The main reason for repeated arthroscopy was persistence of initial abnormality due to insufficient treatment.

Mots-clé
Adolescent, Adult, Arthroscopy, Chondromatosis, Synovial/surgery, Female, Femoracetabular Impingement/surgery, Follow-Up Studies, Hip Joint/physiopathology, Hip Joint/surgery, Humans, Joint Instability/surgery, Male, Middle Aged, Osteoarthritis, Hip/surgery, Patient Satisfaction, Prospective Studies, Radiography, Reoperation, Surveys and Questionnaires, Treatment Failure, Young Adult, Femoroacetabular impingement, Functional outcome, Hip, Revision
Pubmed
Web of science
Open Access
Oui
Création de la notice
30/05/2017 16:29
Dernière modification de la notice
20/08/2019 13:57
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