Preoperative risk factors in hip arthroscopy.
Adult
Age Factors
Arthroplasty, Replacement, Hip
/ statistics & numerical data
Arthroscopy
/ methods
Body Mass Index
Cartilage, Articular
/ diagnostic imaging
Female
Femoracetabular Impingement
/ diagnostic imaging
Hip Joint
/ diagnostic imaging
Humans
Male
Middle Aged
Postoperative Period
Radiography
/ methods
Reoperation
/ statistics & numerical data
Risk Factors
Treatment Outcome
ALAD
Age
Arthroplasty
Arthroscopy
Cartilage
Conversion
FAI
Femoroacetabular impingement
Hip
Prognosis
Tönnis
Journal
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
ISSN: 1433-7347
Titre abrégé: Knee Surg Sports Traumatol Arthrosc
Pays: Germany
ID NLM: 9314730
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
received:
16
06
2020
accepted:
28
01
2021
pubmed:
9
2
2021
medline:
26
5
2021
entrez:
8
2
2021
Statut:
ppublish
Résumé
Arthroscopic surgery is a usual technique to repair hip femoroacetabular impingement. Correlation exists among surgical indication, postoperative evolution, the final result, and the necessity of prosthesis in the near future. The assessment of specific parameters allowing us to evaluate the prognosis becomes vital to improve the results. The objective of this study is to check the variables found in patients with femoroacetabular impingement (FAI) treated with hip arthroscopy, and determine which of these variables would serve as key indicators in predicting the need for subsequent arthroplasty. Data from FAI surgical indications (age, weight, height, BMI, gender, side, radiographic Tönnis degree, cartilage lesion degree by Acetabular Labrum Articular Disruption (ALAD) degree, VAS value, HOS, mHHS and WOMAC) were collected from cases which should have had a minimum monitoring period of 2 years from 2007 to 2017. The results of the group which needed prosthesis were compared to the results of the ones who did not. Among 452 patients who were monitored for an average of 5.8 years, 82 (18.1%) required conversion to prosthesis. The variables that indicated relatively high risk were fourth-degree acetabular labrum articular disruption (ALAD) chondral injury, preoperative radiographic Grade 2 Tönnis classification, age of over 55 years, WOMAC over 45 points, and HOS-ADL under 50 points. There were no significant differences between side, gender, VAS level, nor HOS. The presence of chondral injuries such as acetabular labrum articular disruption (ALAD) 4, radiographic Grade 2 Tönnis classification, higher age, higher BMI, and worse WOMAC, along with mHHS and HOS-ADL preoperative results, are factors which lead to a poor prognosis following FAI hip arthroscopic surgery, increasing the risk of prosthetic conversion in the short or medium term. Level IV.
Identifiants
pubmed: 33555385
doi: 10.1007/s00167-021-06484-0
pii: 10.1007/s00167-021-06484-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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