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Revision hip arthroscopy: findings and outcomes
The purpose of this study is to report on the operative findings and the outcomes of revision hip arthroscopy. All hip arthroscopy cases are prospectively assessed with a modified Harris Hip Score (mHHS) preoperatively and postoperatively. This study consists of 190 consecutive hips (186 patients) w...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5721374/ https://www.ncbi.nlm.nih.gov/pubmed/29250340 http://dx.doi.org/10.1093/jhps/hnx014 |
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author | Gwathmey, F Winston Jones, Kay S Thomas Byrd, J W |
author_facet | Gwathmey, F Winston Jones, Kay S Thomas Byrd, J W |
author_sort | Gwathmey, F Winston |
collection | PubMed |
description | The purpose of this study is to report on the operative findings and the outcomes of revision hip arthroscopy. All hip arthroscopy cases are prospectively assessed with a modified Harris Hip Score (mHHS) preoperatively and postoperatively. This study consists of 190 consecutive hips (186 patients) who underwent revision arthroscopy with minimum 2-year follow-up. There were 69 males and 117 females with a mean age of 32.7 (14–64). The mean time from index to revision procedure was 24.5 months (3–146). Common diagnoses included labral tears (102) and unaddressed or residual femoroacetabular impingement (FAI) (49 cam, 11 pincer, and 20 combined). In addition to FAI correction, there were 82 labral debridements, 28 repairs/refixations, and 6 excisions of labral calcifications. Ninety-three underwent various amounts of synovectomy and 21 underwent iliopsoas release/debridement. At a mean follow-up of 46.9 months, 84.5% of patients reported symptomatic improvement. Twenty patients underwent subsequent surgery at mean of 51 months (11 repeat arthroscopy and 9 THA). Among 166 patients who had no further surgery, the mHHS had improved 27.1.8 points from a preoperative mean of 54.5 to 81.6. Patients who underwent treatment of FAI demonstrated a mean mHHS improvement of 25.7 points. Complications included two cases of transient pudendal neurapraxia, one case of transient quadriceps weakness, one case of retroperitoneal extravasation, and one case of perioperative myocardial infarction. In conclusion, for properly selected patients with persistent or recurrent symptoms following previous hip arthroscopy, revision surgery can result in favorable outcomes with an acceptably low complication rate. |
format | Online Article Text |
id | pubmed-5721374 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-57213742017-12-15 Revision hip arthroscopy: findings and outcomes Gwathmey, F Winston Jones, Kay S Thomas Byrd, J W J Hip Preserv Surg Research Articles The purpose of this study is to report on the operative findings and the outcomes of revision hip arthroscopy. All hip arthroscopy cases are prospectively assessed with a modified Harris Hip Score (mHHS) preoperatively and postoperatively. This study consists of 190 consecutive hips (186 patients) who underwent revision arthroscopy with minimum 2-year follow-up. There were 69 males and 117 females with a mean age of 32.7 (14–64). The mean time from index to revision procedure was 24.5 months (3–146). Common diagnoses included labral tears (102) and unaddressed or residual femoroacetabular impingement (FAI) (49 cam, 11 pincer, and 20 combined). In addition to FAI correction, there were 82 labral debridements, 28 repairs/refixations, and 6 excisions of labral calcifications. Ninety-three underwent various amounts of synovectomy and 21 underwent iliopsoas release/debridement. At a mean follow-up of 46.9 months, 84.5% of patients reported symptomatic improvement. Twenty patients underwent subsequent surgery at mean of 51 months (11 repeat arthroscopy and 9 THA). Among 166 patients who had no further surgery, the mHHS had improved 27.1.8 points from a preoperative mean of 54.5 to 81.6. Patients who underwent treatment of FAI demonstrated a mean mHHS improvement of 25.7 points. Complications included two cases of transient pudendal neurapraxia, one case of transient quadriceps weakness, one case of retroperitoneal extravasation, and one case of perioperative myocardial infarction. In conclusion, for properly selected patients with persistent or recurrent symptoms following previous hip arthroscopy, revision surgery can result in favorable outcomes with an acceptably low complication rate. Oxford University Press 2017-05-11 /pmc/articles/PMC5721374/ /pubmed/29250340 http://dx.doi.org/10.1093/jhps/hnx014 Text en © The Author 2017. Published by Oxford University Press http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Research Articles Gwathmey, F Winston Jones, Kay S Thomas Byrd, J W Revision hip arthroscopy: findings and outcomes |
title | Revision hip arthroscopy: findings and outcomes |
title_full | Revision hip arthroscopy: findings and outcomes |
title_fullStr | Revision hip arthroscopy: findings and outcomes |
title_full_unstemmed | Revision hip arthroscopy: findings and outcomes |
title_short | Revision hip arthroscopy: findings and outcomes |
title_sort | revision hip arthroscopy: findings and outcomes |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5721374/ https://www.ncbi.nlm.nih.gov/pubmed/29250340 http://dx.doi.org/10.1093/jhps/hnx014 |
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