Complications of Hip Arthroscopy

Mather, Richard C.; Reddy, Avinish; Nho, Shane J.

doi:10.1007/978-1-4419-7925-4_32

Operative Hip Arthroscopy 2012

DOI: 10.1007/978-1-4419-7925-4_32

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Complications of Hip Arthroscopy

Richard C. Mather

Avinish Reddy

Shane J. Nho

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Cited by 2 publications

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“…Thus, some surgeons favor an early intervention that consists of the detection and early treatment of patients with bilateral clamping to prevent or delay degenerative changes to the hip 78). However, there is concern regarding the presumed increase in complications in hip arthroscopies performed bilaterally, although it has not been substantiated by evidence 910)…”

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confidence: 99%

Metabolic and Hemodynamic Results and Early Complications in Simultaneous Bilateral versus Unilateral Hip Arthroscopy

et al. 2019

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BackgroundTo compare the hemodynamic parameters—electrolyte concentration, D-dimer level, creatine phosphokinase level—and the incidence of early complications of simultaneous bilateral versus unilateral hip arthroscopy.MethodsA prospective study was conducted on patients (> 18 years of age) undergoing unilateral or bilateral hip arthroscopy under the same anesthetic between 2013 and 2015. Patients were followed up for 30 days after surgery. In all cases, data were collected before, during, and after the surgical procedure.ResultsOne hundred cases of hip arthroscopy (51 unilateral and 49 bilateral) were included in this study. There was a greater variation in systolic blood pressure and heart rate in the unilateral group. The sodium levels were higher in the bilateral group with an adjusted mean difference of 5.31 mmol/L (p < 0.001). During the first 24 hours after the procedure, the proportion of patients with an altered D-dimer of > 500 ng/mL was 85.7% in the bilateral group and 56.9% in the unilateral group. There was no significant difference in the incidence of complications between the groups (bilateral, 8.2%; unilateral, 9.8%; crude odds ratio, 0.83; 95% confidence interval, 0.24 to 2.92; p = 0.526).ConclusionsThe variations of hemodynamic parameters in patients undergoing hip arthroscopy remained within normal ranges. The findings of this study suggest that bilateral hip arthroscopy be selected according to the patient's condition, considering that the risk of complications and metabolic alterations in bilateral hip arthroplasty are similar to those in unilateral arthroscopy.

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Metabolic and Hemodynamic Results and Early Complications in Simultaneous Bilateral versus Unilateral Hip Arthroscopy

et al. 2019

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The use of antibiotic prophylaxis in hip arthroscopy is under-reported and lacks evidence-based guidelines: a systematic review and survey

Ekhtiari

Haldane

et al. 2018

Journal of ISAKOS

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Complications of Hip Arthroscopy

Cited by 2 publications

References 25 publications

Metabolic and Hemodynamic Results and Early Complications in Simultaneous Bilateral versus Unilateral Hip Arthroscopy

Metabolic and Hemodynamic Results and Early Complications in Simultaneous Bilateral versus Unilateral Hip Arthroscopy

The use of antibiotic prophylaxis in hip arthroscopy is under-reported and lacks evidence-based guidelines: a systematic review and survey

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