Hip Arthroscopy Improves Outcomes With Moderate Conversion to Total Hip Arthroplasty Rates in Patients Aged 50 Years or Older: A Systematic Review

Shanmugaraj, Ajaykumar; Kumar, Mithilesh V; Alnaji, Omar; Simunovic, Nicole; Philippon, Marc J.; Ayeni, Olufemi R.

doi:10.1016/j.arthro.2022.08.019

Cited by 17 publications

(5 citation statements)

References 61 publications

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“…Total hip arthroplasty (THA) is a well-established surgical procedure known for enhancing quality of life, alleviating pain and restoring joint function. Nevertheless, complications can arise, with reported incidence ranging from 0 to 38.3% ( 1 , 2 ). Skeletal muscle fibrosis, unlike more common complications such as periprosthetic joint infection or dislocation, often goes unnoticed.…”

Section: Introductionmentioning

confidence: 99%

Iliopsoas fibrosis after revision of total hip arthroplasty revealed by 68Ga-FAPI PET/CT: a case report

Wang,

Sun,

Song

et al. 2024

Front. Med.

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BackgroundTotal hip arthroplasty (THA) is a well-established surgical procedure that has been extensively validated to alleviate pain, enhance joint function, improve the ability to perform daily activities, and enhance overall quality of life. However, this procedure is associated with certain complications, among which skeletal muscle fibrosis is a frequently overlooked but significant complication that can lead to persistent pain. Currently, there is no effective method for diagnosing skeletal muscle fibrosis following total hip arthroplasty.Case reportWe report a 75-year-old male patient who complained of left groin pain after revision total hip arthroplasty. Serological examinations, X-rays, and bone scan results were all normal. However, during the 68Ga-FAPI PET/CT examination, we observed significant radiotracer uptake along the iliopsoas muscle. This abnormal uptake pattern suggested potential biological activity in this specific area. Combined with physical examination, the patient was diagnosed with iliopsoas fibrosis.ConclusionsThe presented images indicated that the uptake pattern was an important indicator for diagnosis, and the prospect of fibroblast activation protein in the diagnosis of skeletal muscle fibrosis has shown certain application value.

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Section: Introductionmentioning

confidence: 99%

Iliopsoas fibrosis after revision of total hip arthroplasty revealed by 68Ga-FAPI PET/CT: a case report

Wang,

Sun,

Song

et al. 2024

Front. Med.

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“…The most commonly reported reoperation after hip arthroscopy is THA. [10][11][12][13][14][15][16] The patient should be informed about the risk of failure, therefore, risk factors that predicts THA after hip arthroscopy should be identified.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for conversion to arthroplasty after hip arthroscopy for femoroacetabular impingement

Oliveira,

Dinis,

Sarmento

et al. 2023

Int J Res Orthop

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Background: Hip arthroscopy is a surgical procedure that is increasingly used worldwide, mostly in the management of femoroacetabular impingement (FAI). The purpose of this study is to evaluate risk factors for conversion of hip arthroscopy to THA within 3 years after the procedure. Methods: Hip arthroscopies for FAI performed at our institution between 2013 and 2019 were reviewed. Inclusion criteria included a minimum 3-year follow-up or a conversion to THA within 3 years. Patient characteristics and radiographic evaluation was made for each patient. This collected data were compared in the two groups Total hip arthroplasty vs non total hip arthroplasty (THA vs non-THA). Results: A total of 136 patients met the inclusion criteria (69 men, 67 women, mean age 38,21 years). During the follow-up period, 22 underwent a THA in less than 3 years after the procedure (16.2%). A statistically significant association was found between conversion to THA and the Tönnis grade (p<0.05), Kellgren-Lawrence grade (p<0.05) and the joint space (p<0.05). It was also found that the patient's age, body mass index (BMI), race and sex did not add independent predictive information. Conclusions: Our analysis demonstrates a strong and significant association between the radiographic evaluation of osteoarthritis (Tönnis grade, Kellgren-Lawrence grade and joint space narrowing) and the risk of early conversion to THA. Other patient characteristics, like patient's age, BMI, race and sex, doesn´t seem to increase the risk.

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“…Femoroacetabular impingement (FAI) has been recognized as an early stage of hip joint degeneration, with treatment of arthroscopy developed and good outcome yielded. 1 Patients with FAI often develop new osteoid growths along the acetabular margin, which have been described variously 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 as acetabular rim osteophyte (ARO), cartilage mineralization, and labral ossification (LO). The pathogenesis and clinical significance of ARO are uncertain, 10 , 11 , 12 , 13 , 14 and relevant quantitative measurement is scarce.…”

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confidence: 99%

Three-Dimensional Reconstruction of Computed Tomography Imaging Is Not Reliable in Assessing Acetabular Rim Osteophytes or Acetabular Rim Pathology in Patients With Femoroacetabular Impingement

Dong,

Maimaitimin,

Jiao

et al. 2024

Arthroscopy, Sports Medicine, and Rehabilitation

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Hip Arthroscopy Improves Outcomes With Moderate Conversion to Total Hip Arthroplasty Rates in Patients Aged 50 Years or Older: A Systematic Review

Cited by 17 publications

References 61 publications

Iliopsoas fibrosis after revision of total hip arthroplasty revealed by 68Ga-FAPI PET/CT: a case report

Iliopsoas fibrosis after revision of total hip arthroplasty revealed by 68Ga-FAPI PET/CT: a case report

Risk factors for conversion to arthroplasty after hip arthroscopy for femoroacetabular impingement

Three-Dimensional Reconstruction of Computed Tomography Imaging Is Not Reliable in Assessing Acetabular Rim Osteophytes or Acetabular Rim Pathology in Patients With Femoroacetabular Impingement

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