Femoroacetabular Impingement in Skeletally Immature Patients: A Systematic Review Examining Indications, Outcomes, and Complications of Open and Arthroscopic Treatment

de, Darren; Cargnelli, Stephanie; Catapano, Michael; Bedi, Asheesh; Simunovic, Nicole; Burrow, Sarah; Ayeni, Olufemi R.

doi:10.1016/j.arthro.2014.07.030

Cited by 43 publications

(35 citation statements)

References 21 publications

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“…Numerous studies have aimed to compare arthroscopic with open surgical management for hip abnormalities. One review found no significant difference in the modified Harris Hip Score (mHHS), HOS–Activities of Daily Living, or HOS–Sport-Specific Subscale between approaches, 13 with another suggesting that both techniques demonstrated overall good outcomes. 67 There was also no significant difference in conversion to total hip arthroplasty (THA), with overall survival rates of 93% and 90.5% for open and arthroscopic, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…In accordance with the published guidelines of the Cochrane Collaboration and the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement, a systematic review of all hip arthroscopic surgery–related systematic reviews published across 3 databases between January 2000 and May 2018 was completed as previously described. 11,13,15 Details of the search strategy and inclusion and exclusion criteria are shown in Appendix Table A1. The quality of included systematic reviews was evaluated using R-AMSTAR (Revised Assessment of Multiple Systematic Reviews), an 11-domain, validated instrument for assessing the methodological quality of systematic reviews (Appendix Table A2).…”

Section: Methodsmentioning

confidence: 99%

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A Systematic Summary of Systematic Reviews on the Topic of Hip Arthroscopic Surgery

Lian

Sheean

et al. 2018

Orthopaedic Journal of Sports Medicine

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Background:There is a rapidly growing body of literature on the topic of hip arthroscopic surgery.Purpose:To provide an overall summary of systematic reviews published on the indications, complications, techniques, outcomes, and information related to hip arthroscopic surgery.Study Design:Systematic review; Level of evidence, 4.Methods:A systematic review of all hip arthroscopic surgery–related systematic reviews published between January 2000 and May 2018 was performed using PubMed, MEDLINE, and the Cochrane Library. Narrative reviews and non-English articles were excluded.Results:A total of 837 articles were found, of which 85 met the inclusion criteria. Included articles were summarized and divided into 6 major categories based on the subject of the review: femoroacetabular impingement (FAI), non-FAI indications, surgical technique, outcomes, complications, and miscellaneous.Conclusion:A summary of systematic reviews on hip arthroscopic surgery can provide surgeons with a single source for the most current synopsis of the available literature. As the prevalence of orthopaedic surgeons performing hip arthroscopic surgery increases, updated evidence-based guidelines must likewise be advanced and understood to ensure optimal patient management.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

A Systematic Summary of Systematic Reviews on the Topic of Hip Arthroscopic Surgery

Lian

Sheean

et al. 2018

Orthopaedic Journal of Sports Medicine

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“…[46][47][48] With prophylactic nonsteroidal medication following hip arthroscopy, the rate of heterotopic bone formation is much lower (1% to 8.3%). 11,47,49 However, when heterotopic ossification does occur, it can be a debilitating complication. The proposed mechanisms for its production are trauma to the muscle during hip arthroscopy and distribution of bony debris during osteochondroplasty.…”

Section: Heterotopic Ossificationmentioning

confidence: 99%

Complications in Hip Arthroscopy

Weber

Harris²,

Nho³

2015

Sports Medicine and Arthroscopy Review

103

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The primary objective of this study was to determine the minor and major complication rate of hip arthroscopy. The secondary objective was to provide strategies for avoiding complications. A systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and checklist. Therapeutic hip arthroscopy investigations that reported on adverse events or complications were included. Narrative and other systematic reviews, meta-analyses, conference abstracts or proceedings, and level V evidence studies were excluded. No follow-up minimum was imposed. The results yielded 53 studies (8189 hip arthroscopies in 8071 subjects). Most studies were level IV evidence (74%) with a mean of 2.2±2.1 years follow-up. Femoroacetabular impingement (FAI) and labral pathology were the 2 most common indications for surgery, and osteochondroplasty for FAI and labral treatment were the 2 most common procedures performed. The minor and major complication rates were 7.9% and 0.45%, respectively. Iatrogenic chondrolabral damage and temporary nerve injury were the 2 most common minor complications. Extra-articular fluid extravasation was the most common major complication encountered. Minor complications associated with hip arthroscopy are generally technical in nature and may be related to the learning curve associated with hip arthroscopy. As surgeon experience increases and patient selection improves, a corresponding decline should be observed in minor complications. Strategies to prevent complications include careful preoperative planning, appropriate surgical indications, attention to detail in the operating room, and proper postoperative rehabilitation.

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“…3 It has proven to be an effective, reproducible, and minimally invasive method for addressing nonstructural problems, such as traumatic acetabular labral tears and intrinsic tissue defects, as well as structural pathology, predominantly femoroacetabular impingement. 6,7,15,16 The clinical outcomes of hip arthroscopy procedures have significantly improved with the development of specialized instruments and surgical techniques. Hip arthroscopy has generally demonstrated similar efficacy when compared with open procedures, with sustained clinical improvement for most patients up to 10 years.…”

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Does Previous Hip Arthroscopy Affect the Clinical Outcomes of Total Hip Arthroplasty?

Haynes

Xiong

Nepple

et al. 2019

Orthopaedic Journal of Sports Medicine

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Background:Failure of hip arthroscopy procedures and the need for subsequent total hip arthroplasty (THA) have been estimated to be as high as 16%. Prior literature has shown that failed ipsilateral knee arthroscopy may have a negative impact on the functional outcome of subsequent total knee arthroplasty. To date, there is limited information regarding the impact of failed hip arthroscopy on the clinical outcomes of subsequent primary THA.Purpose:To compare clinical outcomes in primary THA between patients with and without prior arthroscopic hip surgery.Study Design:Cohort study; Level of evidence, 3.Methods:Patients undergoing primary THA with a history of ipsilateral hip arthroscopy were matched and compared in a 1:2 manner with patients undergoing primary THA without a history of hip arthroscopy. Patient-reported clinical outcomes were measured with the modified Harris Hip Score, the University of California–Los Angeles Activity Score, and 3 subscales from the Western Ontario and McMaster Universities Osteoarthritis Index (Pain, Stiffness, and Physical Function).Results:At a mean follow-up of 42 months, there was no significant difference in any of the outcome measures between the 58 study hips and 116 matched controls. Additionally, both groups exhibited an absolute change in outcome scores that exceeded the minimum clinically important difference.Conclusion:Prior ipsilateral arthroscopic hip surgery does not adversely affect the clinical outcome of subsequent THA.

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Femoroacetabular Impingement in Skeletally Immature Patients: A Systematic Review Examining Indications, Outcomes, and Complications of Open and Arthroscopic Treatment

Cited by 43 publications

References 21 publications

A Systematic Summary of Systematic Reviews on the Topic of Hip Arthroscopic Surgery

A Systematic Summary of Systematic Reviews on the Topic of Hip Arthroscopic Surgery

Complications in Hip Arthroscopy

Does Previous Hip Arthroscopy Affect the Clinical Outcomes of Total Hip Arthroplasty?

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