Evaluation of primary hip arthroscopy complications in mid-term follow-up: a multicentric prospective study
Language English Country Germany Media print-electronic
Document type Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't
PubMed
34223924
DOI
10.1007/s00264-021-05114-1
PII: 10.1007/s00264-021-05114-1
Knihovny.cz E-resources
- Keywords
- Complication rate, Hip arthroscopy, Hip osteoarthritis, Hip preservation,
- MeSH
- Arthroscopy * adverse effects MeSH
- Adult MeSH
- Hip Joint surgery MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Arthroplasty, Replacement, Hip * adverse effects MeSH
- Follow-Up Studies MeSH
- Prospective Studies MeSH
- Reoperation MeSH
- Aged MeSH
- Treatment Outcome MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Aged MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Research Support, Non-U.S. Gov't MeSH
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.
Orthopaedic Department Kromeriz Hospital Kromeriz Czech Republic
Orthopaedics and Traumatology Department University Hospital Pilsen Pilsen Czech Republic
See more in PubMed
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