Outcome of hip arthroscopy in patients with mild to moderate osteoarthritis—A prospective study

Abstract

Osteoarthritis (OA) of the hip is a common cause of hip pain. The arthroscopic management of patients with femoro-acetabular impingement (FAI) has been reported to yield good outcomes. The purpose of this study was to report on outcome following the arthroscopic treatment of patients with FAI in the presence of mild to moderate OA. Seventy-five patients undergoing arthroscopic surgery for FAI, all with preoperative radiological signs of mild to moderate OA were prospectively included in this study. A 2-year follow-up, using web-based patient-reported outcome measures, including the International Hip Outcome Tool (iHOT-12), Copenhagen Hip and Groin Outcome (HAGOS), EQ-5D, Hip Sports Activity Scale (HSAS) for physical activity level and a visual analogue scale (VAS) for overall hip function, was performed, complemented by a radiographic evaluation. At follow-up (mean 26 months, SD 5), five patients (7%) had undergone total hip arthroplasty, leaving 70 patients for the analysis. Preoperative scores compared with those obtained at the 2-year follow-up revealed significant improvements (P < 0.0001) for all measured outcomes; the iHOT-12 (42 versus 65), VAS for global hip function (48 versus 68), HSAS (2.5 versus 3), EQ5D index (0.62 versus 0.76), EQ VAS (69 versus 75) and different HAGOS subscales (54 versus 72, 47 versus 67, 56 versus 75, 40 versus 61, 33 versus 56, 31 versus 55). At follow-up, 56 (82%) patients reported that they was satisfied with the outcome of surgery. Arthroscopic treatment for patients with FAI in the presence of mild to moderate OA resulted in statistically significant and clinically relevant improvements in outcome measures related to pain, symptoms, function, physical activity level and quality of life in the majority of patients.

Good 5-year outcomes after arthroscopic treatment for femoroacetabular impingement syndrome

“…Surgical treatment for FAI syndrome aims to reproduce normal hip anatomy, thereby reducing pain and improving hip function. Several recent studies have reported good results following arthroscopic treatment for FAI syndrome at short-to mid-term follow-ups [5][6][7][8][9][10][11]. The results of arthroscopic surgery have been reported to be similar to those of open surgery, regarding both clinical outcome measurements and the conversion rate to total hip arthroplasty (THA), although hip arthroscopy results in a significantly higher general health-related quality of life [12], with fewer complications [13].…”

Editorial Commentary: To Scope or Not to Scope: Labral Tears in the Early Arthritic Hip

“…[1][2][3][4] Having said that, there are several studies that show that patients with degenerative changes can still have good to excellent outcomes. 5,6 How do we make sense of these conflicting results?…”

Significant Therapeutic Effect of Acupuncture on Intractable Dermatophytosis

“…Scoring criteria: The clinical manifestations before and after treatment were scored in reference to visual analogue scale (VAS) [8][9][10][11] and the score of each symptom and total scores were calculated. According to the degree of each symptom, from the (1) Local itching: 0 for absence of itching, 1 for occasional itching, 2 for attack due to improper diet or overstrain, 3 for intermittent attack, 4 for frequent attack, 5 for severe itching and sleeping disturbance(2) Regarding red patches, blister, thickening of horny layer and scaly skin: 0 for absence of red patches/blister/thickening of horny layer/scaly skin; 1 for the lesion area of red patches/blister/thickening of horny layer/scaly skin less than or equal to 2 cm 2 , or reduced by ≥ 80% as compared with that before treatment; 2 for the lesion area of red patches/blister/thickening of horny layer/scaly skin larger than 2 cm 2 but less than or equal to 4 cm 2 , or reduced by ≥ 60% as compared with those before treatment; 3 for the lesion area of red patches/blister/thickening of horny layer/scaly skin larger than 4 cm 2 but less than or equal to 6 cm 2 or reduced by ≥ 40% as compared with those before treatment; 4 for the lesion area of red patches/blister/thickening of horny layer/scaly skin larger than 6 cm 2 but less than or equal to 8 cm 2 or reduced by ≥ 20% as compared with those before treatment; 5 for the lesion area of red patches/blister/ thickening of horny layer/scaly skin larger than 8 cm 2 or reduced by <10% as compared with those before treatment.…”