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International Orthopaedics

Erschienen in:

19.04.2019 | Original Paper

Prior arthroscopic treatment for femoro-acetabular impingement does not compromise hip arthroplasty outcomes: a matched-controlled study with minimum two-year follow-up

verfasst von: Moritz Hoeltzermann, Christian Sobau, Wolfgang Miehlke, Alexander Zimmerer

Erschienen in: International Orthopaedics | Ausgabe 7/2019

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Abstract

Background

Femoro-acetabular impingement (FAI) is known as a predisposing factor in the development of osteoarthritis of the hip. In order to treat this condition, hip arthroscopy is considered as the gold standard in recent years. The number of performed hip arthroscopies has risen immensely. However, a number of patients with poor outcome after hip arthroscopy will require further surgical intervention, sometimes even conversion into THR (total hip replacement). The purpose of this study was to analyze whether outcomes of THR are affected by prior hip arthroscopy in these patients.

Methods

Patients who underwent a THR following an ipsilateral hip arthroscopy were matched to a control group of THR patients with no history of prior ipsilateral hip surgery. Matching criteria were age, sex, body mass index, implants used, and surgical approach. Modified Harris Hip Score, surgical time, presence of heterotopic ossification, and post-operative complication were prospectively compared at a minimum two year follow-up.

Results

Thirty-three THR after hip arthroscopy patients were successfully matched to control patients. There was no significant difference in mHHS between both groups (FAI treatment group 92.8 vs. control group 93.8, p = 0.07). However, FAI treatment group showed a lower mHHS score pre-operatively (48 vs. 60, p = 0.002). There was no significant difference in surgical time and post-operative complication rate. No heterotopic ossification could be found.

Conclusion

A prior hip arthroscopy has no affect to clinical outcomes of subsequent THR.

Ganz R, Leunig M, Leunig-Ganz K et al (2008) The etiology of osteoarthritis of the hip: an integrated mechanical concept. Clin Orthop Relat Res 466(2):264–272. https://doi.org/10.1007/s11999-007-0060-z CrossRefPubMedPubMedCentral

Ganz R, Parvizi J, Beck M et al (2003) Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res (417):112–120. https://doi.org/10.1097/01.blo.0000096804.78689.c2

Beck M, Kalhor M, Leunig M et al (2005) Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg (Br) 87(7):1012–1018. https://doi.org/10.1302/0301-620X.87B7.15203 CrossRef

Kaya M, Suzuki T, Emori M et al (2016) Hip morphology influences the pattern of articular cartilage damage. Knee Surg Sports Traumatol Arthrosc 24(6):2016–2023. https://doi.org/10.1007/s00167-014-3297-6 CrossRefPubMed

Magrill ACL, Nakano N, Khanduja V (2017) Historical review of arthroscopic surgery of the hip. Int Orthop 41(10):1983–1994. https://doi.org/10.1007/s00264-017-3454-x CrossRefPubMed

Maradit Kremers H, Schilz SR, van Houten HK et al (2017) Trends in utilization and outcomes of hip arthroscopy in the United States between 2005 and 2013. J Arthroplast 32(3):750–755. https://doi.org/10.1016/j.arth.2016.09.004 CrossRef

Bozic KJ, Chan V, Valone FH et al (2013) Trends in hip arthroscopy utilization in the United States. J Arthroplast 28(8 Suppl):140–143. https://doi.org/10.1016/j.arth.2013.02.039 CrossRef

Montgomery SR, Ngo SS, Hobson T et al (2013) Trends and demographics in hip arthroscopy in the United States. Arthroscopy 29(4):661–665. https://doi.org/10.1016/j.arthro.2012.11.005 CrossRefPubMed

Nakano N, Gohal C, Duong A et al (2018) Outcomes of cartilage repair techniques for chondral injury in the hip-a systematic review. Int Orthop 42(10):2309–2322. https://doi.org/10.1007/s00264-018-3862-6 CrossRefPubMed

10.

Sariali E, Vandenbulcke F (2018) Clinical outcomes following arthroscopic treatment of femoro-acetabular impingement using a minimal traction approach and an initial capsulotomy. Minimum two year follow-up. Int Orthop 42(11):2549–2554. https://doi.org/10.1007/s00264-018-3904-0 CrossRefPubMed

11.

Rego PA, Mascarenhas V, Oliveira FS et al (2018) Arthroscopic versus open treatment of cam-type femoro-acetabular impingement: retrospective cohort clinical study. Int Orthop 42(4):791–797. https://doi.org/10.1007/s00264-017-3735-4 CrossRefPubMed

12.

Kautzner J, Zeman P, Stancak A et al (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 CrossRefPubMed

13.

Lund B, Mygind-Klavsen B, Grønbech Nielsen T et al (2017) Danish Hip Arthroscopy Registry (DHAR): the outcome of patients with femoroacetabular impingement (FAI). J Hip Preserv Surg 4(2):170–177. https://doi.org/10.1093/jhps/hnx009 CrossRefPubMedPubMedCentral

14.

Nwachukwu BU, Chang B, Kahlenberg CA et al (2017) Arthroscopic treatment of femoroacetabular impingement in adolescents provides clinically significant outcome improvement. Arthroscopy. https://doi.org/10.1016/j.arthro.2017.04.008

15.

Spencer-Gardner L, Dissanayake R, Kalanie A et al (2017) Hip arthroscopy results in improved patient reported outcomes compared to non-operative management of waitlisted patients. J Hip Preserv Surg 4(1):39–44. https://doi.org/10.1093/jhps/hnw051 CrossRefPubMedPubMedCentral

16.

Daivajna S, Bajwa A, Villar R (2015) Outcome of arthroscopy in patients with advanced osteoarthritis of the hip. PLoS One 10(1):e0113970. https://doi.org/10.1371/journal.pone.0113970 CrossRefPubMedPubMedCentral

17.

McCarthy JC, Jarrett BT, Ojeifo O et al (2011) What factors influence long-term survivorship after hip arthroscopy? Clin Orthop Relat Res 469(2):362–371. https://doi.org/10.1007/s11999-010-1559-2 CrossRefPubMed

18.

Piedade SR, Pinaroli A, Servien E et al (2009) Is previous knee arthroscopy related to worse results in primary total knee arthroplasty? Knee Surg Sports Traumatol Arthrosc 17(4):328–333. https://doi.org/10.1007/s00167-008-0669-9 CrossRefPubMed

19.

Piedade SR, Pinaroli A, Servien E et al (2013) TKA outcomes after prior bone and soft tissue knee surgery. Knee Surg Sports Traumatol Arthrosc 21(12):2737–2743. https://doi.org/10.1007/s00167-012-2139-7 CrossRefPubMed

20.

Spencer-Gardner LS, Camp CL, Martin JR et al (2016) Does prior surgery for femoroacetabular impingement compromise hip arthroplasty outcomes? J Arthroplast 31(9):1899–1903. https://doi.org/10.1016/j.arth.2016.02.036 CrossRef

21.

Haughom BD, Plummer DR, Hellman MD et al (2016) Does hip arthroscopy affect the outcomes of a subsequent total hip arthroplasty? J Arthroplast 31(7):1516–1518. https://doi.org/10.1016/j.arth.2016.01.008 CrossRef

22.

Perets I, Mansor Y, Mu BH et al (2017) Prior arthroscopy leads to inferior outcomes in total hip arthroplasty: a match-controlled study. J Arthroplast. https://doi.org/10.1016/j.arth.2017.06.050

23.

Zingg PO, Schallberger A, Rüdiger HA et al (2012) Does previous hip arthroscopy negatively influence the short term clinical result of total hip replacement? Arch Orthop Trauma Surg 132(3):299–303. https://doi.org/10.1007/s00402-011-1352-z CrossRefPubMed

24.

Nam D, Maher P, Nath T et al (2014) Does a prior hip arthroscopy affect clinical outcomes in metal-on-metal hip resurfacing arthroplasty? Am J Orthop 43(11):E255–E260PubMed

25.

Brooker AF, Bowerman JW, Robinson RA et al (1973) Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am 55(8):1629–1632CrossRefPubMed

26.

Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am 51(4):737–755CrossRefPubMed

27.

Byrd JW, Jones KS (2000) Prospective analysis of hip arthroscopy with 2-year follow-up. Arthroscopy 16(6):578–587. https://doi.org/10.1053/jars.2000.7683 CrossRefPubMed

28.

Söderman P (2000) On the validity of the results from the Swedish National Total Hip Arthroplasty register. Acta Orthop Scand Suppl 71(296):1–33CrossRefPubMed

29.

Kemp JL, Collins NJ, Makdissi M et al (2012) Hip arthroscopy for intra-articular pathology: a systematic review of outcomes with and without femoral osteoplasty. Br J Sports Med 46(9):632–643. https://doi.org/10.1136/bjsports-2011-090428 CrossRefPubMed

30.

Aprato A, Jayasekera N, Villar RN (2012) Does the modified Harris Hip Score reflect patient satisfaction after hip arthroscopy? Am J Sports Med 40(11):2557–2560. https://doi.org/10.1177/0363546512460650 CrossRefPubMed

31.

Domb BG, Chaharbakhshi EO, Rybalko D et al (2017) Outcomes of hip arthroscopic surgery in patients with Tönnis grade 1 osteoarthritis at a minimum 5-year follow-up: a matched-pair comparison with a Tönnis grade 0 control group. Am J Sports Med 45(10):2294–2302. https://doi.org/10.1177/0363546517706957 CrossRefPubMed

32.

Bedi A, Zbeda RM, Bueno VF et al (2012) The incidence of heterotopic ossification after hip arthroscopy. Am J Sports Med 40(4):854–863. https://doi.org/10.1177/0363546511434285 CrossRefPubMed

33.

Neal B, Gray H, MacMahon S et al (2002) Incidence of heterotopic bone formation after major hip surgery. ANZ J Surg 72(11):808–821CrossRefPubMed

34.

Charles R, LaTulip S, Goulet JA et al (2017) Previous arthroscopic repair of femoro-acetabular impingement does not affect outcomes of total hip arthroplasty. Int Orthop 41(6):1125–1129. https://doi.org/10.1007/s00264-016-3330-0 CrossRefPubMed

Titel: Prior arthroscopic treatment for femoro-acetabular impingement does not compromise hip arthroplasty outcomes: a matched-controlled study with minimum two-year follow-up
verfasst von: Moritz Hoeltzermann
Christian Sobau
Wolfgang Miehlke
Alexander Zimmerer
Publikationsdatum: 19.04.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 7/2019
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-019-04330-0

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Prior arthroscopic treatment for femoro-acetabular impingement does not compromise hip arthroplasty outcomes: a matched-controlled study with minimum two-year follow-up

Abstract

Background

Methods

Results

Conclusion

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