Previous arthroscopic repair of femoro-acetabular impingement does not affect outcomes of total hip arthroplasty

Charles, Ryan; LaTulip, Scott M; Goulet, James A.; Pour, Aidin Eslam

doi:10.1007/s00264-016-3330-0

Cited by 22 publications

(20 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One factor that has been discussed in the literature on hip and knee arthroplasty is the impact of prior surgery on the ipsilateral joint on outcomes after later arthroplasty 9-18 . Given the growth in volume of non-arthroplasty shoulder surgery being performed annually in the United States, it is particularly important to understand any implications of these procedures on the outcomes for patients who later have a shoulder arthroplasty 19-21 .…”

mentioning

confidence: 99%

Shoulder Arthroplasty Outcomes After Prior Non-Arthroplasty Shoulder Surgery

Frank¹,

Lee

Sumner

et al. 2018

JBJS OA

View full text Add to dashboard Cite

Background:The purpose of this retrospective study was to compare outcomes and complications in patients with and patients without a history of non-arthroplasty surgery on the ipsilateral shoulder who later underwent total shoulder arthroplasty (TSA) or reverse total shoulder arthroplasty (RTSA). We hypothesized that patients who had undergone prior surgery would have more complications and worse clinical outcomes.Methods:Consecutive patients who had undergone shoulder arthroplasty and had been followed for a minimum of 2 years were evaluated with the American Shoulder and Elbow Society scoring system (ASES), Simple Shoulder Test (SST), and Visual Analog Scale (VAS) assessments and with physical examination, including range-of motion assessments. Complications and outcomes in patients who had undergone prior surgery on the ipsilateral shoulder (PS group) were compared with those in patients without such a history (NPS group).Results:Data on 506 shoulder arthroplasties (263 TSA and 243 RTSA) were available for analysis. A total of 144 patients (28%) had an average of 1.9 ± 1.0 surgical procedures on the ipsilateral shoulder before arthroplasty. The average age in the PS group was significantly younger at the time of arthroplasty compared with the NPS group (61.6 ± 10.2 years compared with 68.2 ± 8.6 years, p = 0.035). At an average follow-up of 42.8 ± 16.4 months, both groups had significant improvements in ASES, SST, VAS, and range-of-motion values (p < 0.05 for all). All outcome scores in the PS group were significantly lower than those in the NPS group (p < 0.001 for all). The PS group also had a significantly higher complication rate than the NPS group (19.4% compared with 4.4%, p < 0.001), and multivariate regression analysis revealed that prior surgery was a significant independent predictor of postoperative complications. There were no differences between the PS and NPS groups in the number of postoperative infections (p = 0.679), reoperations (p = 0.553), or transfusions (p = 0.220).Conclusions:Patients who have a history of prior surgery on the ipsilateral shoulder derive benefit from shoulder arthroplasty, but their magnitude of improvement and final scores are lower than those of patients who do not have such a history. This information can be used to counsel this challenging patient population on expected outcomes following shoulder arthroplasty.Level of Evidence:Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

show abstract

mentioning

confidence: 99%

Shoulder Arthroplasty Outcomes After Prior Non-Arthroplasty Shoulder Surgery

Frank¹,

Lee

Sumner

et al. 2018

JBJS OA

View full text Add to dashboard Cite

show abstract

“…Finally, given evidence that arthroscopy is related to higher rates of postoperative complications and failures following subsequent joint arthroplasty in the knee 13,14) , it is reasonable to imagine that a similar relationship may exist in the hip, especially considering that arthroscopy in the hip is much more challenging and far less familiar to surgeons. Recently, Charles et al 15) examined 39 patients who underwent THA after hip arthroscopy for FAI and found no differences between a matched control group in: (i) estimated blood loss, (ii) operative time, (iii) early postoperative physical therapy metrics, (iv) early inpatient narcotics requirements, (v) length of hospital stay, (vi) heterotopic bone formation, (vii) rates of emergency department evaluations, or (viii) superficial and deep periprosthetic infections. Parker et al 32) , in their study of 35 patients found no difference in range of motion, complication rate, implant survival, or functional outcomes between naïve hips receiving THA and those previously treated with arthroscopy.…”

Section: Discussionmentioning

confidence: 99%

“…The literature describing late complications of hip arthroscopy, in particular, the effect on outcomes of future surgical interventions is limited to relatively small study groups [15][16][17][18][19]28) . As the incidences of both arthroscopic FAI repair and THA have been increasing [6][7][8][9][10] and are only expected to continue to rise 12) , the need for research to better guide management and counseling of this expanding subset of patients is clear.…”

Section: Discussionmentioning

confidence: 99%

“…Evidence exists to support the risk of negative implications of arthroscopy on subsequent joint replacement in the knee 13,14) . Prior studies evaluating FAI repair procedures as a risk factor for complications after THA were mostly smaller, institutional reviews that were inadequately powered to evaluate risk factors for various outcomes [15][16][17][18][19] .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Does Arthroscopic Repair of Femoroacetabular Impingement Pathology Affect Clinical Outcomes after Ipsilateral Total Hip Arthroplasty?

et al. 2020

View full text Add to dashboard Cite

Purpose: Arthroscopy for repair of femoroacetabular impingement (FAI) and related conditions is technically challenging, but remains the preferred approach for management of these hip pathologies. The incidence of this procedure has increased steadily for the past few years, but little is known about its potential long-term effects on future interventions. The purpose of this study was to evaluate whether prior arthroscopic correction of FAI pathology impacts postoperative complication rates in patients receiving subsequent ipsilateral total hip arthroplasty (THA) on a national scale. Materials and Methods: A commercially available national database-PearlDiver Patients Records Databaseidentified primary THA patients from 2005 to 2014. Patients who had prior arthroscopic FAI repair (post arthroscopy group) were separated from those who did not (native hip group). Prior FAI repair was examined as a risk factor for complications following THA and a multivariable logistic regression analysis was applied to identify risk factors for complications following THA. Results: A total of 11,061 patients met all inclusion and exclusion criteria; 10,951 in the native hip group and 110 in the post arthroscopy group. Prior FAI repair was not significantly associated with higher rates of 90-day readmission (P=0.585), aseptic dislocation/revision within 3 years (P=0.409), surgical site infection within 3 years (P=0.796), or hip stiffness within 3 years (P=0.977) after THA. Conclusion: Arthroscopic FAI repair is not an independent risk factor for complications following subsequent ipsilateral THA (level of evidence: III).

show abstract

“…Nos últimos 15 anos, observou-se um aumento acentuado do número de procedimentos artroscópicos do quadril em todo o mundo 27 . Charles et al 62…”

Section: Artroscopia Prévia No Quadrilunclassified

Cultura dos tecidos profundos na artroplastia total primária do quadril: valor prognóstico para infecção periprotética

Ferro¹

View full text Add to dashboard Cite

Previous arthroscopic repair of femoro-acetabular impingement does not affect outcomes of total hip arthroplasty

Abstract: Case-control level-III.

Cited by 22 publications

References 13 publications

Shoulder Arthroplasty Outcomes After Prior Non-Arthroplasty Shoulder Surgery

Shoulder Arthroplasty Outcomes After Prior Non-Arthroplasty Shoulder Surgery

Does Arthroscopic Repair of Femoroacetabular Impingement Pathology Affect Clinical Outcomes after Ipsilateral Total Hip Arthroplasty?

Cultura dos tecidos profundos na artroplastia total primária do quadril: valor prognóstico para infecção periprotética

Contact Info

Product

Resources

About