Hip Arthroscopy Outcomes, Complications, and Traction Safety in Patients with Prior Lower-extremity Arthroplasty

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2014 Aug 9

PMID 25104422

Citations 8

Authors

Bryan G Beutel

Jason A Collins

Garret Garofolo

Thomas Youm

Affiliations

Soon will be listed here.

Abstract

Purpose: Given the potential for injury due to joint-distraction techniques during hip arthroscopy, this study investigated the outcomes and safety of traction during hip arthroscopy in a series of patients with a prior lower-extremity arthroplasty.

Methods: Nine patients with a prior hip or knee arthroplasty (Group 1) and a matched cohort of nine additional patients with no prior hip surgery (Group 2) who underwent hip arthroscopy with traction between 2011 and 2013 were evaluated. Collected data included traction and operative times, Modified Harris Hip Scores (MHHS), Non-Arthritic Hip Scores (NAHS), and postoperative complications.

Results: Both operative (p = 1) and traction (p = 0.11) times were similar in each group. Each group had a significant improvement in MHHS from baseline to final follow-up: from 39 to 73 (p < 0.001) in Group 1 and from 49 to 75 (p = 0.03) in Group 2. Similarly, the NAHS showed significant improvement in each group from baseline to final follow-up: from 41 to 71 (p < 0.001) in Group 1 and from 48 to 74 (p = 0.02) in Group 2. There was no difference between groups in MHHS or NAHS. There was one postoperative complication in Group 1 (a recurrent labral tear) and no complications from an existing arthroplasty or in Group 2.

Conclusions: Hip arthroscopy in patients with a lower-extremity arthroplasty yields improved short-term clinical outcomes without increased complications. The use of traction during hip arthroscopy is safe in this population.

Citing Articles

Efficacy of Outside-In Hip Arthroscopy without Traction in the Treatment of Hip Synovial Osteochondromatosis.

Wu W, Liu M, Zhou C, Mao H, Wu H, Wu Z Orthop Surg. 2024; 16(11):2862-2867.

PMID: 39354742 PMC: 11541137. DOI: 10.1111/os.14258.

Arriaza C, Navarrete C, Palos J, Suarez-Ahedo C J Hip Preserv Surg. 2023; 10(2):69-74.

PMID: 37900890 PMC: 10604058. DOI: 10.1093/jhps/hnad007.

Effect of prior ipsilateral lower extremity surgery on 2-year outcomes following hip arthroscopy for femoroacetabular impingement syndrome.

Kunze K, Beck E, Okoroha K, Chahla J, Suppauksorn S, Bush-Joseph C J Hip Preserv Surg. 2020; 6(3):241-248.

PMID: 32337062 PMC: 7171797. DOI: 10.1093/jhps/hnz031.

A Characterization of Sensory and Motor Neural Dysfunction in Patients Undergoing Hip Arthroscopic Surgery: Traction- and Portal Placement-Related Nerve Injuries.

Carreira D, Kruchten M, Emmons B, Startzman A, Martin R Orthop J Sports Med. 2018; 6(9):2325967118797306.

PMID: 30320143 PMC: 6154260. DOI: 10.1177/2325967118797306.

Hip arthroscopy complications regarding surgery and early postoperative care: retrospective study and review of literature.

Seijas R, Ares O, Sallent A, Cusco X, Alvarez-Diaz P, Tejedor R Musculoskelet Surg. 2016; 101(2):119-131.

PMID: 27928731 DOI: 10.1007/s12306-016-0444-x.

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