Early Experience With a Comprehensive Hip Preservation Service Intended to Improve Clinical Care, Education, and Academic Productivity

Peters, Christopher L.; Aoki, Stephen K.; Erickson, Jill; Anderson, Lucas A.; Anderson, Andrew E.

doi:10.1007/s11999-012-2549-3

Cited by 5 publications

(3 citation statements)

References 31 publications

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“…[21][22][23] In a systematic review of eight studies, Redmond et al 14 reported that at the time of PAO, both labral pathology and chondral injury are easier to identify with concomitant arthroscopy as opposed to concomitant arthrotomy. The increasing utilization of hip arthroscopy to treat hip pathology [24][25][26] led to the consideration of hip arthroscopy at the time of PAO to diagnose and address intra-articular pathology. Although there have been two uncontrolled studies reporting favorable outcomes of combining a PAO with hip arthroscopy, 27,28 to our knowledge, there have been no reports describing the safety of combining hip arthroscopy and PAO in the same surgical setting vs PAO alone.…”

Section: Introductionmentioning

confidence: 99%

Concomitant Hip Arthroscopy and Periacetabular Osteotomy: Is there a Difference in Perioperative Complications compared with Periacetabular Osteotomy Alone?

Olson¹,

Neumann²,

Rickert³

et al. 2017

The Duke Orthopaedic Journal

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Purpose: To evaluate the safety of hip arthroscopy combined with a periacetabular osteotomy (PAO) compared with PAO alone in treating concomitant intra-articular pathology in hip dysplasia. Materials and methods:Forty-one patients (46 hips) with symptomatic hip dysplasia were retrospectively reviewed. Pre-and postoperative radiographic data and intraoperative data consisting of estimated blood loss, intraoperative and postoperative blood transfusions, operative time, and length of hospital stay were recorded. The complications occurring within the first 3 months after surgery including lateral femoral cutaneous and pudendal nerve neuropraxia, wound complications, and reoperations were recorded. Additionally, rates of deep venous thrombosis and other major adverse outcomes (myocardial infarction, pulmonary embolism, stroke, death) were examined.Results: Twenty-one patients (24 hips) underwent PAO alone. Twenty patients (22 hips) underwent hip arthroscopy followed immediately by PAO. There were no significant differences in the 90-day complication rates between the two groups, comparing the rate of neuropraxia (p = 0.155) and wound complications (p = 0.6). Operative time for PAO alone was 179 minutes (standard deviation [SD] ± 37) compared with 251 minutes (SD ± 52) for combined hip arthroscopy and PAO (p < 0.001). No incidence of deep vein thrombosis or major adverse events was noted in either group. Preoperative lateral center edge angle (LCEA) and acetabular index (AI) were 14° and 20° respectively, in the PAO-alone group and 19° and 16° respectively, in the combined group. Postoperatively, LCEA was 29° in the PAOalone group and 30° in the combined group. Postoperative AI was 11° in the PAO-alone group and 5° in the combined group. Conclusion:This study demonstrates that hip arthroscopy in combination with PAO to treat intra-articular pathology shows no difference in 90-day complication rates when compared with PAO alone.

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Section: Introductionmentioning

confidence: 99%

Concomitant Hip Arthroscopy and Periacetabular Osteotomy: Is there a Difference in Perioperative Complications compared with Periacetabular Osteotomy Alone?

Olson¹,

Neumann²,

Rickert³

et al. 2017

The Duke Orthopaedic Journal

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“…From the moment we enter the world, the possibility of its existence is checked for at numerous time intervals in order that intervention can be started as early as possible. Interest in the presentation and treatment of this disorder in early adulthood has increased with the development and refinement of surgical techniques and a greater understanding of young adult hip disorders [1,[2][3][4][5][6][7]. Despite this, there is a proportion of cases, again across a spectrum of severity, that are either missed or go undetected, which present in adulthood.…”

Section: Introductionmentioning

confidence: 99%

Trends in the surgical management of hip dysplasia

Hutt¹,

Hutt²,

Bernard³

2014

Journal of Pediatric Orthopaedics B

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Hip dysplasia is a spectrum of disease. There are established screening programmes for its detection in childhood, but there is also increasing interest in its presentation and surgical treatment at skeletal maturity. This study was aimed at establishing patterns of operative treatment for hip dysplasia in the UK using the hospital episode statistics database over an 11-year period. From a total of 12 100 operations during this interval, there has been no significant change in the level of intervention in the paediatric population. There has, however, been a four-fold rise in procedures in the adult population over the same timeframe.

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“…On the basis of current evidence, various clinical guidelines recommend the utilisation of specific thromboprophylactic modalities for a variety of orthopaedic procedures (1–4). We strongly believe that the knowledge accrued in the fields of hip arthroplasty and hip fracture care (5) cannot be generalised to hip-preservation surgery, one of the fastest growing fields in the United States (6). Specifically, patients undergoing joint preserving procedures of the hip are younger and more active, and joint preserving surgery does not include violation of the intramedually canal.…”

Section: Introductionmentioning

confidence: 99%

Prevention of Venous Thromboembolic Events following Femoroacetabular Osteoplasty: Aspirin is Enough for Most

et al. 2013

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Early Experience With a Comprehensive Hip Preservation Service Intended to Improve Clinical Care, Education, and Academic Productivity

Cited by 5 publications

References 31 publications

Concomitant Hip Arthroscopy and Periacetabular Osteotomy: Is there a Difference in Perioperative Complications compared with Periacetabular Osteotomy Alone?

Concomitant Hip Arthroscopy and Periacetabular Osteotomy: Is there a Difference in Perioperative Complications compared with Periacetabular Osteotomy Alone?

Trends in the surgical management of hip dysplasia

Prevention of Venous Thromboembolic Events following Femoroacetabular Osteoplasty: Aspirin is Enough for Most

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