Cargando…
Hip Arthroscopy of a Painful Hip with Borderline Dysplasia
PURPOSE: Hip arthroscopy has been considered for treating hip dysplasia; however, its efficacy is still a matter of controversy. Here, we report outcomes of patients with borderline dysplasia treated with a contemporary hip arthroscopy technique. MATERIALS AND METHODS: Forty-seven hips with borderli...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Hip Society
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6546675/ https://www.ncbi.nlm.nih.gov/pubmed/31198777 http://dx.doi.org/10.5371/hp.2019.31.2.102 |
_version_ | 1783423551223627776 |
---|---|
author | Yoon, Sun Jung Lee, Sang Hong Jang, Se Woong Jo, Suenghwan |
author_facet | Yoon, Sun Jung Lee, Sang Hong Jang, Se Woong Jo, Suenghwan |
author_sort | Yoon, Sun Jung |
collection | PubMed |
description | PURPOSE: Hip arthroscopy has been considered for treating hip dysplasia; however, its efficacy is still a matter of controversy. Here, we report outcomes of patients with borderline dysplasia treated with a contemporary hip arthroscopy technique. MATERIALS AND METHODS: Forty-seven hips with borderline hip dysplasia were treated using hip arthroscopy. Patients underwent procedures to correct torn labrums or ligamentum teres with additional procedure on the acetabular capsule. Patient outcomes were assessed using visual analogue scale (VAS), modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS) and patient satisfaction. Risk factors for poor prognosis were also investigated. RESULTS: The mean follow up period was 25.9 months. At the last follow up, mean VAS score decreased from 6.1±1.6 to 3.5±2.8 (P=0.016). The mHHS and NHAS at the last follow up improved from 61.0±7.6 to 78.6±19.5 (P=0.001) and 62.1±7.5 to 80.0±18.5 (P=0.002), respectively. While significant improvement was observed in all patient reported outcome measures tested, 19 (40.4%) hips indicated that “the operation was unsatisfactory.” The only factor shown to influence outcomes was preoperative VAS (i.e., worse scores potentially an indicator of poor outcomes). CONCLUSION: The results of the current study indicate that arthroscopic management may be beneficial for a subset of patients with borderline dysplasia; however, the dissatisfaction rate associated with this treatment approach may be as high as 40%. The poor preoperative pain score appears to be the sole indicator for poor outcomes. |
format | Online Article Text |
id | pubmed-6546675 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Korean Hip Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-65466752019-06-13 Hip Arthroscopy of a Painful Hip with Borderline Dysplasia Yoon, Sun Jung Lee, Sang Hong Jang, Se Woong Jo, Suenghwan Hip Pelvis Original Article PURPOSE: Hip arthroscopy has been considered for treating hip dysplasia; however, its efficacy is still a matter of controversy. Here, we report outcomes of patients with borderline dysplasia treated with a contemporary hip arthroscopy technique. MATERIALS AND METHODS: Forty-seven hips with borderline hip dysplasia were treated using hip arthroscopy. Patients underwent procedures to correct torn labrums or ligamentum teres with additional procedure on the acetabular capsule. Patient outcomes were assessed using visual analogue scale (VAS), modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS) and patient satisfaction. Risk factors for poor prognosis were also investigated. RESULTS: The mean follow up period was 25.9 months. At the last follow up, mean VAS score decreased from 6.1±1.6 to 3.5±2.8 (P=0.016). The mHHS and NHAS at the last follow up improved from 61.0±7.6 to 78.6±19.5 (P=0.001) and 62.1±7.5 to 80.0±18.5 (P=0.002), respectively. While significant improvement was observed in all patient reported outcome measures tested, 19 (40.4%) hips indicated that “the operation was unsatisfactory.” The only factor shown to influence outcomes was preoperative VAS (i.e., worse scores potentially an indicator of poor outcomes). CONCLUSION: The results of the current study indicate that arthroscopic management may be beneficial for a subset of patients with borderline dysplasia; however, the dissatisfaction rate associated with this treatment approach may be as high as 40%. The poor preoperative pain score appears to be the sole indicator for poor outcomes. Korean Hip Society 2019-06 2019-05-30 /pmc/articles/PMC6546675/ /pubmed/31198777 http://dx.doi.org/10.5371/hp.2019.31.2.102 Text en Copyright © 2019 by Korean Hip Society 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 unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Yoon, Sun Jung Lee, Sang Hong Jang, Se Woong Jo, Suenghwan Hip Arthroscopy of a Painful Hip with Borderline Dysplasia |
title | Hip Arthroscopy of a Painful Hip with Borderline Dysplasia |
title_full | Hip Arthroscopy of a Painful Hip with Borderline Dysplasia |
title_fullStr | Hip Arthroscopy of a Painful Hip with Borderline Dysplasia |
title_full_unstemmed | Hip Arthroscopy of a Painful Hip with Borderline Dysplasia |
title_short | Hip Arthroscopy of a Painful Hip with Borderline Dysplasia |
title_sort | hip arthroscopy of a painful hip with borderline dysplasia |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6546675/ https://www.ncbi.nlm.nih.gov/pubmed/31198777 http://dx.doi.org/10.5371/hp.2019.31.2.102 |
work_keys_str_mv | AT yoonsunjung hiparthroscopyofapainfulhipwithborderlinedysplasia AT leesanghong hiparthroscopyofapainfulhipwithborderlinedysplasia AT jangsewoong hiparthroscopyofapainfulhipwithborderlinedysplasia AT josuenghwan hiparthroscopyofapainfulhipwithborderlinedysplasia |