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Total hip arthroscopy

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https://www.readbyqxmd.com/read/28120020/hip-arthroscopic-capsulotomy-techniques-and-capsular-management-strategies-a-systematic-review
#1
Seper Ekhtiari, Darren de Sa, Chloe E Haldane, Nicole Simunovic, Christopher M Larson, Marc R Safran, Olufemi R Ayeni
PURPOSE: Hip arthroscopy is increasingly used to address hip joint pathology. Iatrogenic instability has been reported as a potential complication, leading to the evaluation of various capsular management strategies. The purpose of this review was to (1) report the techniques used for capsulotomy in hip arthroscopy, (2) understand techniques and indications for capsular closure, and (3) report outcomes based on capsular management strategy. METHODS: MEDLINE, EMBASE, and PubMed were searched and screened in duplicate for relevant studies...
January 24, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28109644/fluid-extravasation-in-hip-arthroscopy-a-systematic-review
#2
REVIEW
Seper Ekhtiari, Chloe E Haldane, Darren de Sa, Nicole Simunovic, Olufemi R Ayeni
PURPOSE: The purpose of this systematic review was to (1) characterize cases of fluid extravasation during hip arthroscopy and explore common factors among them and (2) describe management strategies and outcomes of this complication. METHODS: The databases MEDLINE, EMBASE, and PubMed were searched and screened in duplicate. Data regarding patient demographics, fluid management, presentation, management, and outcomes were collected. Study quality was assessed in duplicate using the Methodological Index for Non-Randomized Studies Criteria...
January 18, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28066749/comparative-analysis-of-kinesiotherapy-rehabilitation-after-hip-arthroscopy-quantified-by-harris-and-vail-hip-scores-a-retrospective-study
#3
Melissa Saavedra, Ricardo Moraga, Patricia Diaz, Daniel Camacho, Rodrigo Mardones
BACKGROUND: It has been proven that femoroacetabular impingement cases improve following arthroscopic surgery. However, rehabilitation has a major role in the patient's recovery. The protocol used by our institution consists of an evidence-based guideline for the different phases of rehabilitation. OBJECTIVE: Describe and determine the effectiveness of our institution's kinesiotherapy rehabilitation program during 2011-2016, comparing Harris and Vail Hip Scores scales (HHS and VHS, respectively) at the beginning of each treatment phase...
July 2016: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/28066736/joint-preservation-after-hip-arthroscopy-in-patients-with-fai-prospective-analysis-with-a-minimum-follow-up-of-seven-years
#4
Fernando Comba, Carlos Yacuzzi, Pablo J Ali, Gerardo Zanotti, Martin Buttaro, Francisco Piccaluga
BACKGROUND: The purpose of this study is to evaluate the clinical outcomes, radiological degenerative progression and the joint preservation rate in a series of patients with Femoroacetabular Impingement (FAI) treated with hip arthroscopy at a minimum follow-up of 7 years. The predictive factors for total hip arthroplasty (THA) requirement were analyzed. MATERIALS AND METHODS: Between February 2008 and February 2009, 42 consecutive patients treated with hip arthroscopy due to FAI syndrome were included...
July 2016: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/27896294/a-qualitative-assessment-of-return-to-sport-after-hip-arthroscopy-for-femoroacetabular-impingement
#5
Vehniah K Tjong, Charles J Cogan, Brett D Riederman, Michael A Terry
BACKGROUND: Hip arthroscopy for femoroacetabular impingement (FAI) is known to produce excellent outcomes, yet some patients do not return to their preinjury level of sport participation. Much literature on return to sport has revolved around anterior cruciate ligament reconstruction and even shoulder instability, but none to date have used qualitative, semistructured patient interviews on patients with hip labral tears. PURPOSE: To understand the factors influencing the decision to return to sport after arthroscopic hip surgery for FAI...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27793498/trends-in-utilization-and-outcomes-of-hip-arthroscopy-in-the-united-states-between-2005-and-2013
#6
Hilal Maradit Kremers, Stephanie R Schilz, Holly K Van Houten, Jeph Herrin, Karl M Koenig, Kevin J Bozic, Daniel J Berry
BACKGROUND: The utilization of hip arthroscopy continues to increase in the United States. The purpose of this study was to examine trends in hip arthroscopy procedures and outcomes. METHODS: We performed a retrospective cohort study using Optum Labs Data Warehouse administrative claims data. The cohort comprised 10,042 privately insured enrollees aged 18-64 years who underwent a hip arthroscopy procedure between 2005 and 2013. Utilization trends were examined using age-specific, sex-specific, and calendar-year-specific hip arthroscopy rates...
September 28, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27785537/previous-arthroscopic-repair-of-femoro-acetabular-impingement-does-not-affect-outcomes-of-total-hip-arthroplasty
#7
Ryan Charles, Scott LaTulip, James A Goulet, Aidin Eslam Pour
BACKGROUND: Total hip arthroplasty (THA) is commonly elected following failed arthroscopic treatment of femoro-acetabular impingement (FAI). The purpose of this study was to evaluate post-operative outcomes of primary THA in patients who had previously undergone arthroscopic treatment for FAI. METHODS: A retrospective, matched case-control study was conducted. The case group included 39 patients who underwent THA after previous hip arthroscopy for FAI. Thirty-nine patients who had a primary THA without previous hip arthroscopy served as a control group and were matched for age, sex and body mass index...
October 26, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27756723/outcomes-of-hip-arthroscopy-in-the-older-adult-a-systematic-review-of-the-literature
#8
Daniel W Griffin, Matthew J Kinnard, Peter M Formby, Michael P McCabe, Terrence D Anderson
BACKGROUND: The indications for hip preservation surgery have expanded to include treatment of hip pathology in older adults. While several studies have examined the efficacy of hip arthroscopy in the setting of osteoarthritis, there has been no review of outcomes in older adults. PURPOSE: To review the outcomes of hip arthroscopy in older adults and identify factors associated with treatment failures. STUDY DESIGN: Systematic review. METHODS: PubMed, EMBASE, and the Cochrane Library were searched through March 2016 for studies reporting outcomes of primary hip arthroscopy in patients older than 40 years...
October 18, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27729164/preemptive-analgesia-in-hip-arthroscopy-a-randomized-controlled-trial-of-preemptive-periacetabular-or-intra-articular-bupivacaine-in-addition-to-postoperative-intra-articular-bupivacaine
#9
Amir Shlaifer, Zachary Tuvya Sharfman, Hal David Martin, Eyal Amar, Efi Kazum, Yaniv Warschawski, Matan Paret, Silviu Brill, Michael Drexler, Ehud Rath
PURPOSE: To evaluate and compare the efficacy of intra-articular and periacetabular blocks for postoperative pain control after hip arthroscopy. METHODS: Forty-two consecutive patients scheduled for hip arthroscopy were randomized into 2 postoperative pain control groups. One group received preemptive intra-articular 20 mL of bupivacaine 0.5% injection, and the second group received preemptive periacetabular 20 mL of bupivacaine 0.5% injection. Before closure all patients received an additional dose of 20 mL of bupivacaine 0...
January 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27718121/what-are-the-risk-factors-for-revision-surgery-after-hip-arthroscopy-for-femoroacetabular-impingement-at-7-year-followup
#10
Pascal Cyrill Haefeli, Christoph Emanuel Albers, Simon Damian Steppacher, Moritz Tannast, Lorenz Büchler
BACKGROUND: In recent years, surgical treatment of symptomatic femoroacetabular impingement (FAI) has been increasingly performed using arthroscopy. Bony pathomorphologies and damage to the labrum as well as cartilage defects can be addressed with comparable results to open surgery with overall less surgery-related complications. Despite the increasing importance of hip arthroscopy, however, reports on midterm clinical and radiographic outcomes and comparison to open surgical hip dislocation are scarce...
October 7, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27695906/is-there-a-distinct-pattern-to-the-acetabular-labrum-and-articular-cartilage-damage-in-the-non-dysplastic-hip-with-instability
#11
Kotaro R Shibata, Shuichi Matsuda, Marc R Safran
PURPOSE: The purpose of this study was to determine whether or not there is a distinct pattern of injury to the acetabular labrum and/or cartilage in the hip with instability without bony dysplasia. METHODS: Surgical records and intra-operative images of consecutive patients who underwent primary hip arthroscopy for femoroacetabular impingement (FAI) and/or hip instability by the senior author from April 2007 to December 2014 were retrospectively reviewed. Pathological changes were documented and charted on a novel diagram of the acetabulum, and classified into eight patterns corresponding to the lesion's location and size...
October 1, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27625005/hip-arthroscopy-in-patients-age-40-or-older-a-systematic-review
#12
REVIEW
Nolan S Horner, Seper Ekhtiari, Nicole Simunovic, Marc R Safran, Marc J Philippon, Olufemi R Ayeni
PURPOSE: To (1) report clinical outcomes, complication rates, and total hip arthroplasty (THA) conversion rates for patients age 40 or older who underwent hip arthroscopy, and (2) report any age-related predictors of outcome identified in the literature. METHODS: MEDLINE, EMBASE, and PubMed were searched for relevant studies and pertinent data were abstracted from eligible studies. No meta-analysis was performed because of heterogeneity amongst studies. RESULTS: Seventeen studies were included in this review comprising 16,327 patients, including 9,954 patients age 40 or older...
February 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27583149/the-direct-environmental-impact-of-hip-arthroscopy-for-femoroacetabular-impingement-a-surgical-waste-audit-of-five-cases
#13
Darren de Sa, Kellee Stephens, Michelle Kuang, Nicole Simunovic, Jon Karlsson, Olufemi R Ayeni
Health care facilities produce significant waste (2200 kg/bed/year) creating 2% of greenhouse gas emissions and 1% total solid waste nationwide, with 20-70% of waste coming from operating rooms. We performed a waste audit of hip arthroscopy for femoroacetabular impingement (FAI) to understand its environmental impact and identify areas for greening practices. A waste audit of five hip arthroscopy procedures for FAI was performed. All waste was collected and separated into six waste streams in real time: (i) normal/landfill waste; (ii) recyclable cardboards and plastics; (iii) biohazard waste; (iv) sharp items; (v) linens and (vi) sterile wrapping...
July 2016: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/27583148/patient-reported-outcomes-for-patients-who-returned-to-sport-compared-with-those-who-did-not-after-hip-arthroscopy-minimum-2-year-follow-up
#14
Benjamin G Domb, Kevin F Dunne, Timothy J Martin, Chengcheng Gui, Nathan A Finch, S Pavan Vemula, John M Redmond
Previous studies assessed elite athletes' return to sport (RTS) after hip arthroscopy, but few investigated a cohort including athletes from all levels of sport. This study compared athletes who returned to sport to those who did not, based on four patient-reported outcome (PRO) scores, including the Hip Outcome Score-Sports Specific Subscale (HOS-SSS). Between September 2008 and April 2012, hip arthroscopies were performed on 157 patients (168 hips) who reported playing a sport preoperatively and indicated their level of sports activity post-operatively...
July 2016: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/27583146/hip-arthroscopy-a-report-on-a-cohort-of-orthopaedic-surgeons
#15
J W Thomas Byrd, Kay S Jones, Paul C Chin
Successful hip arthroscopy depends on proper patient selection and reasonable patient expectations. The purpose of this study is to report the results of hip arthroscopy in orthopaedic surgeons who represent the most informed cohort. This report is based on a retrospective review of prospectively collected data among 24 orthopaedic surgeons (1 bilateral). Follow-up averaged 48 months (range 12-120 months). They were all males with an average age of 45 years (range 30-64 years). All improved with an average of 18 points (preoperative 75; post-operative 93); although one underwent repeat arthroscopy and one was converted to total hip arthroplasty at 54 months...
July 2016: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/27583059/treatment-algorithm-for-patients-with-non-arthritic-hip-pain-suspect-for-an-intraarticular-pathology
#16
R Wejnold Jørgensen, C Dippmann, L Dahl, J Stürup
BACKGROUND: The amount of patients referred with longstanding, non-arthritic hip pain is increasing, as are the treatment options. Left untreated hip dysplasia, acetabular retroversion and femoroacetabular impingement (FAI) may lead to osteoarthritis (OA). Finding the right treatment option for the right patient can be challenging in patients with non-arthritic hip pain. PURPOSE: The purpose of this study was to categorize the radiographic findings seen in patients with longstanding hip pain, suspect for an intraarticular pathology, and provide a treatment algorithm allocating a specific treatment option for each clinical condition...
2016: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/27567322/the-success-of-hip-arthroscopy-in-an-active-duty-population
#17
Jason R Dutton, Nicholas A Kusenzov, Joseph T Lanzi, E'Stephan J Garcia, Mark P Pallis
PURPOSE: To examine the outcomes of arthroscopic treatment of the hip in a young, active military population. Specifically, the ability to return to duty was the prime indicator of success. In addition, an objective evaluation of various demographic and surgery-related variables was performed to identify predictors for success or failure of treatment in this military population. METHODS: A retrospective chart review was undertaken to ascertain the results of hip arthroscopy at a single academic military medical center...
August 23, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27544591/clinical-outcomes-of-hip-arthroscopy-in-patients-60%C3%A2-or-older-a-minimum-of-2-year-follow-up
#18
Brian M Capogna, Michael K Ryan, John P Begly, Kristofer E Chenard, Siddharth A Mahure, Thomas Youm
PURPOSE: To examine clinical outcomes and survivorship in patients aged 60 years or older who underwent hip arthroscopy for management of hip pain. METHODS: Prospectively collected data for patients 60 or older undergoing hip arthroscopy were obtained. All patients were indicated for hip arthroscopy based on standard preoperative examination as well as routine and advanced imaging. Demographic data, diagnosis, and details regarding operative procedures were collected...
December 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27539862/arthroscopic-validation-of-radiographic-minimum-joint-space-width-associated-with-the-subchondral-bone-exposure-in-symptomatic-hip-dysplasia
#19
Yasuharu Nakashima, Masanori Fujii, Yasuo Noguchi, Kenya Suenaga, Takuaki Yamamoto, Jun-Ichi Fukushi, Goro Motomura, Satoshi Hamai, Daisuke Hara, Yukihide Iwamoto
OBJECTIVE: The purpose of this study was to clarify the minimum joint space width (MJSW) that leads to subchondral bone exposure (SBE) in patients with hip dysplasia. METHODS: We included 82 subjects (86 hips) who had hip dysplasia with center-edge angle less than 20° and who underwent periacetabular osteotomy combined with hip arthroscopy. The acetabular and femoral cartilages were divided into the three regions: anterosuperior, superior, and posterosuperior; for each region, we analyzed the correlation between the incidence of SBE and the MJSW measured on plain radiographs...
August 19, 2016: Modern Rheumatology
https://www.readbyqxmd.com/read/27536950/effect-of-general-anesthesia-on-preoperative-hip-range-of-motion-in-patients-undergoing-hip-arthroscopy
#20
Vivek Chadayammuri, Cecilia Pascual-Garrido, Tigran Garabekyan, Matthew J Kraeutler, Kenneth Milligan, Asheesh Bedi, Omer Mei-Dan
The purpose of this study was to investigate the effect of general anesthesia on preoperative passive hip range of motion (ROM) in patients undergoing hip arthroscopy for various indications. A total of 260 consecutive patients undergoing hip arthroscopy were included in this study. Passive hip ROM was evaluated bilaterally in the clinic and subsequently under general anesthesia immediately preoperatively. Demographic variables, including age, height, weight, and clinical diagnosis, were recorded for all patients...
November 1, 2016: Orthopedics
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