Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticleRevision Hip Preservation Surgery With Hip Arthroscopy: Clinical Outcomes
Section snippets
Methods
During the study period from April 2008 to December 2010, all patients who underwent hip arthroscopy for the revised treatment of previous hip preservation surgery, including open procedures, were included in the study. Patients with a Tönnis grade of 2 or greater are excluded from undergoing hip arthroscopy at our institution and thus are not part of this study group. In addition, patients with dysplasia (lateral center-edge angle <20°) are generally not arthroscopy candidates. Patients were
Results
During the study period (April 2008 through December 2010), 633 hip arthroscopies were performed by the senior author (B.G.D.). Forty-seven hips in 43 patients had completed 2 years' follow-up or met the endpoint of requiring THA. Patient demographic data are listed in Table 2. The mean age was 37.1 years (range, 16 to 70 years), and the mean length of follow-up was 29 months (range, 24 to 47 months). Nine patients had reached 3 years' follow-up at the time of analysis (March 2013). Of the
Discussion
This study shows that revision hip preservation with arthroscopy can result in successful outcomes in selected patients but overall scores tend to be lower than those in patients undergoing primary hip arthroscopy with questionable durability, as has been shown in previous studies.3 Segmental labral defects treated with labral reconstruction, unaddressed or incompletely addressed FAI, HO, and patients previously operated on by open techniques were positive predictive factors for changes in PROs
Conclusions
On the basis of multiple PROs, revision hip preservation with hip arthroscopy can achieve moderately successful outcomes and remains a viable treatment strategy after failed primary hip preservation surgery. Preoperative predictors of success after revision hip arthroscopy include segmental labral defects, unaddressed or incompletely addressed FAI, HO, and previous open surgery.
Acknowledgment
The authors thank Dr Jeffrey Gornbein for the statistical analysis.
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Patients Undergoing Revision Hip Arthroscopy Demonstrate Comparable Survivability and Improvement but Worse Postoperative Outcomes Compared to Patients Undergoing Primary Hip Arthroscopy: A Propensity Matched Study at Five-Year Follow-Up
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2021, Arthroscopy, Sports Medicine, and RehabilitationRadiographic Factors Associated With Failure of Revision Hip Arthroscopy
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2018, Arthroscopy - Journal of Arthroscopic and Related SurgeryMinimal Clinically Important Difference and Substantial Clinical Benefit After Revision Hip Arthroscopy
2018, Arthroscopy - Journal of Arthroscopic and Related SurgeryCitation Excerpt :They noted that there was a success rate of 63.4% at 1 year. In a similar fashion, Domb et al.13 and Gupta et al.14 reported significant patient-reported outcome improvement after revision hip arthroscopy. Prior studies have performed psychometric analyses for MCID and SCB after primary hip arthroscopy.
The authors report the following potential conflict of interest or source of funding: T.J.J., B.G.D., C.E.S., D.L., and Y.E-B. receive support from American Hip Institute (nonprofit research organization). B.G.D. receives support from MAKO Surgical and Arthrex.