Bilateral Hip Arthoscopy in Sport Population: Two Years Follow-up

Rafols, Claudio; Mönckeberg, Juan; Numair, Jorge

doi:10.1016/j.arthro.2013.09.058

Cited by 2 publications

(6 citation statements)

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“…Of the 19 included studies that were published between 2010 and 2020, there was one RCT, three prospective cohort studies, seven retrospective cohort studies, three case–control studies, and five case series (Table 1). There was one conference abstract included in this review [48].…”

Section: Resultsmentioning

confidence: 99%

“…The overall mean ± SD time between surgeries for patients undergoing staged bilateral arthroscopy was 7.1 ± 4.0 months; nine studies were included in this calculation, comprising 91.7% ( n = 689) of patients undergoing staged procedures [12, 14, 21–23, 26, 30, 39, 50]. The mean total traction time for staged and simultaneous participants was 87.4 ± 2.2 min[10, 12] and 78.8 ± 14.5 min[12, 48], respectively; one study was not included in this calculation for simultaneous patients, as a median was provided instead of a mean [2]. The surgical techniques and rehabilitation protocols are further summarized in Appendix Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…All but two studies reported symptomatic FAI as an indicator for surgery [48, 56]. One of these studies used radiographic evidence as an indicator and did not report whether patients were asymptomatic [56].…”

Section: Resultsmentioning

confidence: 99%

“…There were 957 patients (48.6% male) with a mean age of 27.9 ± 7.1 years; four and five studies were not included in the calculations for mean age [10, 39, 48, 56] and sex distribution [5, 10, 48, 49, 56], respectively, as they did not stratify or report these data points for bilateral FAI patients. The mean follow‐up was 31.7 ± 20.8 months based on available data (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…One of these studies used radiographic evidence as an indicator and did not report whether patients were asymptomatic [56]. The other study did not report any indications for bilateral hip surgery [48].…”

Section: Surgical Indicationsmentioning

confidence: 99%

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Bilateral hip arthroscopy for treating femoroacetabular impingement: a systematic review

Kumar

Shanmugaraj

Kay

et al. 2021

Knee Surg Sports Traumatol Arthrosc

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PurposeFemoroacetabular impingement (FAI) is a hip disorder which can often present bilaterally. The purpose of this systematic review was to explore the current practices for bilateral hip arthroscopy in treating FAI as they relate to outcomes and complications. MethodsThis review has been conducted according to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta‐analyses (PRISMA). The electronic databases PubMed, MEDLINE, EMBASE, and CENTRAL (Cochrane Central Register of Controlled Trials) were searched from data inception to October 18th, 2020. The Methodological Index for Non‐randomized Studies (MINORS) was used to assess study quality. Data are presented descriptively. ResultsOverall, 19 studies were identified, comprising 957 patients (48.6% male) with a mean age of 27.9 ± 7.1 years and a mean follow‐up of 31.7 ± 20.8 months. The majority of patients were treated with a staged bilateral hip arthroscopy (78.5%) with a mean duration between surgeries of 7.1 ± 4.0 months. Significant preoperative‐to‐postoperative improvements for clinical outcomes such as pain, hip function, and health‐related daily living as well as radiographic outcomes were reported in six studies for staged procedures (p < 0.05) and three studies for simultaneous procedures (p < 0.02). Significant improvements in patient‐reported outcomes (e.g., HOS‐ADL, Pain, HOS‐SS, mHHS, and NAHS) were found in favor of those undergoing a shorter delay between surgeries in three studies (i.e., < 3, 10 or 17 months) (p < 0.05) compared to those who had delayed surgeries (i.e., > 3, 10, or 17 months). The overall complication rate was 10.1% (97/957). ConclusionsBilateral surgery for FAI yields improved outcomes postoperatively and complication rates similar to unilateral surgery. The overall complication rate was 10.1% with the most common complication being revision surgery. Staged bilateral surgery is more commonly performed than simultaneous surgery. Clinicians should consider preoperative imaging, clinical history, and patient values when deciding between staged and simultaneous procedures for bilateral FAI surgery. Future studies are required to determine the optimal indications for simultaneous versus staged procedures, as well as the ideal timing between surgeries for the latter. Level of evidenceLevel IV.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Surgical Indicationsmentioning

confidence: 99%

See 3 more Smart Citations

Bilateral hip arthroscopy for treating femoroacetabular impingement: a systematic review

Kumar

Shanmugaraj

Kay

et al. 2021

Knee Surg Sports Traumatol Arthrosc

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Bilateral versus unilateral hip arthroscopy for femoroacetabular impingement: a systematic review

Fernandez

Sheth

Tjong

et al. 2020

Journal of Hip Preservation Surgery

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One in four patients presenting with femoroacetabular impingement (FAI) has bilateral symptoms, and despite excellent outcomes reported after arthroscopic treatment of FAI, there remains a paucity of data on the outcomes following bilateral hip arthroscopy. This systematic review aims to examine the outcomes following bilateral (either ‘simultaneous’ or ‘staged’) versus unilateral hip arthroscopy for FAI. A systematic review of multiple electronic databases was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and checklist. All studies comparing simultaneous, staged and/or unilateral hip arthroscopy for FAI were eligible for inclusion. Case series, case reports and reviews were excluded. All study, patient and hip-specific data were extracted and analyzed. The Newcastle–Ottawa Scale was used to assess study quality. A meta-analysis was not performed due to heterogeneity among outcome measures. A total of six studies, including 722 patients (42.8% male) and 933 hips were eligible for inclusion. The mean age across patients was 35.5. The average time between staged procedures was 7.7 months. Four of the six studies were retrospective cohort studies, while the remaining two were prospective in nature. The overall quality of the eligible studies was found to be good. No significant difference was noted among patient-reported outcomes (modified Harris hip score, hip outcome score and non-arthritic hip score), visual analog scale, return to sport, traction time and complications between those undergoing bilateral (simultaneous or staged) versus unilateral hip arthroscopy. Based on the current available evidence, bilateral hip arthroscopy (whether simultaneous or staged) exhibits similar efficacy and safety when compared with unilateral hip arthroscopy. However, further prospective study is required to confirm this finding.

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Bilateral Hip Arthoscopy in Sport Population: Two Years Follow-up

Cited by 2 publications

References 0 publications

Bilateral hip arthroscopy for treating femoroacetabular impingement: a systematic review

Bilateral hip arthroscopy for treating femoroacetabular impingement: a systematic review

Bilateral versus unilateral hip arthroscopy for femoroacetabular impingement: a systematic review

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