Does capsular closure influence patient-reported outcomes in hip arthroscopy for femoroacetabular impingement and labral tear?


Journal

Journal of hip preservation surgery
ISSN: 2054-8397
Titre abrégé: J Hip Preserv Surg
Pays: England
ID NLM: 101643347

Informations de publication

Date de publication:
Aug 2019
Historique:
received: 03 12 2018
revised: 05 05 2019
accepted: 21 05 2019
entrez: 5 12 2019
pubmed: 5 12 2019
medline: 5 12 2019
Statut: epublish

Résumé

Capsulotomy is necessary to facilitate instrument manoeuvrability within the joint capsule in many arthroscopic hip surgical procedures. In cases where a clear indication for capsular closure does not exist, surgeon's preference and experience often determines capsular management. The purpose of this study was to assess the influence of capsular closure on clinical outcome scores and satisfaction in patients who underwent hip arthroscopy surgery for femoroacetabular impingement (FAI) and labral tear. Data were prospectively collected and retrospectively analysed for hip arthroscopy surgeries with a minimum 2 years follow-up. Patients with developmental dysplasia of the hip, previous back or hip surgeries, and degenerative changes to this hip and secondary gains were excluded. Demographic data, intraoperative findings and patient-reported outcome scores were recorded, including the Modified Harris Hip Score (MHHS) and Hip Outcome Score (HOS). A total of 29 and 35 patients were included in the non-closure and closure groups, respectively. The mean follow-up time was over 3 years for both groups. The mean pre-operative and post-operative HOS scores and MHHS scores did not significantly differ between groups (pre-operative HOS: 65.6 and 66.3,

Identifiants

pubmed: 31798927
doi: 10.1093/jhps/hnz025
pii: hnz025
pmc: PMC6874774
doi:

Types de publication

Journal Article

Langues

eng

Pagination

199-206

Informations de copyright

© The Author(s) 2019. Published by Oxford University Press.

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Auteurs

Ran Atzmon (R)

Department of Orthopaedic Surgery, Faculty of Health and Science, Assuta Medical Center, Ben Gurion University, Ha-Refu'a St 7, Ashdod, Israel.

Zachary T Sharfman (ZT)

Department of Orthopaedic Surgery Montefiore Department of Orthopaedic Surgery, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Forcheimer Building, Bronx, NY, USA.

Barak Haviv (B)

Orthopedic Department, Affiliated to Sackler Faculty of Medicine, Hasharon Hospital, Rabin Medical Center, Tel Aviv University, Ze'ev Jabotinsky Rd 39, Petah Tikva, Israel.

Michal Frankl (M)

Orthopaedic Department, Yitzhak Shamir Medical Center, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Be'er Ya'akov, Tzrifin, Israel.

Gilad Rotem (G)

Department of Orthopaedic Surgery, Sheba Medical Center at Tel HaShomer, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Emek HaEla St 1, Tel HaShomer, Ramat Gan, Israel.

Eyal Amar (E)

Department of Orthopaedic Surgery, Tel Aviv Medical Center, Affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Weizmann St 6, Tel Aviv-Yafo, Israel.

Michael Drexler (M)

Department of Orthopaedic Surgery, Faculty of Health and Science, Assuta Medical Center, Ben Gurion University, Ha-Refu'a St 7, Ashdod, Israel.

Ehud Rath (E)

Department of Orthopaedic Surgery, Tel Aviv Medical Center, Affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Weizmann St 6, Tel Aviv-Yafo, Israel.

Classifications MeSH