Evaluation of primary hip arthroscopy complications in mid-term follow-up: a multicentric prospective study

. 2021 Oct ; 45 (10) : 2525-2529. [epub] 20210705

Jazyk angličtina Země Německo Médium print-electronic

Typ dokumentu časopisecké články, multicentrická studie, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/pmid34223924
Odkazy

PubMed 34223924
DOI 10.1007/s00264-021-05114-1
PII: 10.1007/s00264-021-05114-1
Knihovny.cz E-zdroje

INTRODUCTION: Hip arthroscopy is a common procedure in hip preservation surgery. Its complication rate is relatively low. This prospective multicentric study evaluates complication rate in patients undergoing primary hip arthroscopy. MATERIALS AND METHODS: The study cohort consisted of 908 patients mean age of 37 years (14-67 years). Patients were prospectively included in the study in the years 2009-2017. All complications were recorded and evaluated. The minimum follow-up was 36 months. Results were statistically evaluated and risk factors for complications were identified. RESULTS: The overall complication rate was 7.3% (67/908 cases), the minor complication rate of 4.9% (45/908 cases) and the major complication rate 2.4% (22/908 cases). The most common severe complications were iatrogenic cartilage damage and instrument breakage, while the most common minor complications were perineal hypoaesthesia and heterotopic ossifications. The conversion rate to total hip replacement was 4.2% (39/908 patients). CONCLUSION: Hip arthroscopy is a safe procedure with low complication rates. Surgeon training and experience greatly influence the complication rates.

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Byrd JW (2006) Hip arthroscopy: surgical indications. Arthroscopy 22(12):1260–1262. https://doi.org/10.1016/j.arthro.2006.08.021 PubMed DOI

Ross JR, Larson CM, Bedi A (2017) Indications for hip arthroscopy. Sports. Health 9(5):402–413. https://doi.org/10.1177/1941738117712675 DOI

Khan M, Habib A, de Sa D, Larson CM, Kelly BT, Bhandari M, Ayeni OR, Bedi A (2016) Arthroscopy up to date: hip femoroacetabular impingement. Arthroscopy 32(1):177–189. https://doi.org/10.1016/j.arthro.2015.10.010 PubMed DOI

Cvetanovich GL, Weber AE, Kuhns BD, Alter J, Harris JD, Mather RC 3rd, Nho SJ (2018) Hip arthroscopic surgery for femoroacetabular impingement with capsular management: factors associated with achieving clinically significant outcomes. Am J Sports Med 46(2):288–296. https://doi.org/10.1177/0363546517739824 PubMed DOI

Bonazza NA, Homcha B, Liu G, Leslie DL, Dhawan A (2018) Surgical trends in arthroscopic hip surgery using a large national database. Arthroscopy 34(6):1825–1830. https://doi.org/10.1016/j.arthro.2018.01.022 PubMed DOI

Griffiths EJ, Khanduja V (2012) Hip arthroscopy: evolution, current practice and future developments. Int Orthop 36(6):1115–1121. https://doi.org/10.1007/s00264-011-1459-4 PubMed DOI PMC

Kautzner J, Zeman P, Stančák A, Havlas V (2018) Hip arthroscopy learning curve: a prospective single-surgeon study. Int Orthop 42(4):777–782. https://doi.org/10.1007/s00264-017-3666-0 PubMed DOI

Mehta N, Chamberlin P, Marx RG, Hidaka C, Ge Y, Nawabi DH, Lyman S (2018) Defining the learning curve for hip arthroscopy: a threshold analysis of the volume-outcomes relationship. Am J Sports Med 46(6):1284–1293. https://doi.org/10.1177/0363546517749219 PubMed DOI

Clarke MT, Arora A, Villar RN (2003) Hip arthroscopy: complications in 1054 cases. Clin Orthop Relat Res 406:84–88. https://doi.org/10.1097/01.blo.0000043048.84315.af DOI

Merz MK, Christoforetti JJ, Domb BG (2015) Femoral neck fracture after arthroscopic femoroplasty of the hip. Orthopedics 38(8):e696-700. https://doi.org/10.3928/01477447-20150804-57 PubMed DOI

Kowalczuk M, Bhandari M, Farrokhyar F, Wong I, Chahal M, Neely S, Gandhi R, Ayeni OR (2013) Complications following hip arthroscopy: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc 21(7):1669–1675. https://doi.org/10.1007/s00167-012-2184-2 PubMed DOI

Harris JD, McCormick FM, Abrams GD, Gupta AK, Ellis TJ, Bach BR Jr, Bush-Joseph CA, Nho SJ (2013) Complications and reoperations during and after hip arthroscopy: a systematic review of 92 studies and more than 6,000 patients. Arthroscopy 29(3):589–595. https://doi.org/10.1016/j.arthro.2012.11.003 PubMed DOI

West CR, Bedard NA, Duchman KR, Westermann RW, Callaghan JJ (2019) Rates and risk factors for revision hip arthroscopy. Iowa Orthop J 39(1):95–99 PubMed PMC

Brand JC, Rossi MJ, Lubowitz JH (2019) Hip arthroscopy complications are rare, but there is room for improvement. Arthroscopy 35(5):1297–1299. https://doi.org/10.1016/j.arthro.2019.03.009 PubMed DOI

Nakano N, Lisenda L, Jones TL, Loveday DT, Khanduja V (2017) Complications following arthroscopic surgery of the hip: a systematic review of 36 761 cases. Bone Joint J 99-B(12):1577–1583. https://doi.org/10.1302/0301-620X.99B12.BJJ-2017-0043.R2 PubMed DOI

Jamil M, Dandachli W, Noordin S, Witt J (2018) Hip arthroscopy: indications, outcomes and complications. Int J Surg 54(Pt B):341–344. https://doi.org/10.1016/j.ijsu.2017.08.557 PubMed DOI

Gupta A, Redmond JM, Hammarstedt JE, Schwindel L, Domb BG (2014) Safety measures in hip arthroscopy and their efficacy in minimizing complications: a systematic review of the evidence. Arthroscopy 30(10):1342–1348. https://doi.org/10.1016/j.arthro.2014.04.103 PubMed DOI

Chaudhry ZS, Salem HS, Hammoud S, Salvo JP (2019) Does prior hip arthroscopy affect outcomes of subsequent hip arthroplasty? A systematic review. Arthroscopy 35(2):631–643. https://doi.org/10.1016/j.arthro.2018.08.055 PubMed DOI

Parker SJM, Grammatopoulos G, Davies OLI, Lynch K, Pollard TCB, Andrade AJ (2017) Outcomes of hip arthroplasty after failed hip arthroscopy: a case-control study. J Arthroplasty 32(10):3082-3087.e2. https://doi.org/10.1016/j.arth.2017.05.023 PubMed DOI

Kemp JL, MacDonald D, Collins NJ, Hatton AL, Crossley KM (2015) Hip arthroscopy in the setting of hip osteoarthritis: systematic review of outcomes and progression to hip arthroplasty. Clin Orthop Relat Res 473(3):1055–1073. https://doi.org/10.1007/s11999-014-3943-9 PubMed DOI

Domb BG, Gui C, Lodhia P (2015) How much arthritis is too much for hip arthroscopy: a systematic review. Arthroscopy 31(3):520–529. https://doi.org/10.1016/j.arthro.2014.11.008 PubMed DOI

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