Elimination of a Postoperative Brace Does Not Increase Complications Following Hip Arthroscopy

被引:1
作者
Johnson, Andrea H. [1 ]
Richardson, Erica [2 ]
Fowler, Brook [3 ]
West, Michaline [3 ]
Turcotte, Justin J. [4 ]
Petre, Benjamin M. [5 ]
机构
[1] Anne Arundel Med Ctr, Orthoped, Annapolis, MD 21401 USA
[2] Anne Arundel Med Ctr, Phys Therapy, Annapolis, MD USA
[3] Anne Arundel Med Ctr, Clin Res, Annapolis, MD USA
[4] Anne Arundel Med Ctr, Orthoped Res, Annapolis, MD USA
[5] Anne Arundel Med Ctr, Orthoped Surg, Annapolis, MD USA
关键词
femoro-acetabular impingement; postoperative rehabilitation; postoperative complications; postoperative brace; hip arthroscopy; FEMOROACETABULAR IMPINGEMENT; MANAGEMENT; OSTEOARTHRITIS; TRENDS;
D O I
10.7759/cureus.40321
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background The practice of routine postoperative bracing to limit abduction and internal rotation, along with weightbearing restrictions after hip arthroscopy (HA), varies significantly among surgeons. It is unclear whether the use of a postoperative brace improves short-term outcomes in patients undergoing HA. The purpose of this study was to determine the differences in patient outcomes before and after eliminating routine usage of a postoperative brace. Methods A retrospective review was conducted of 176 adult patients undergoing HA by a single, high-volume surgeon. The no-brace protocol was implemented in October 2020. The patients were divided into two groups: preimplementation (January-October 2020) and post-implementation (October 2020-April 2021). Twenty-three patients that used a brace during the post-implementation period were excluded. All patients had weightbearing restrictions with crutches for three weeks postoperatively. The primary endpoint was any complication in the first six weeks postoperatively. Results There were no significant differences in demographics between groups, although the body mass index in the brace group was higher ( 28.1 vs. 26.4 kg/ m2, p = 0.066) and the rate of additional procedures performed was higher in the brace group (55.2% vs. 40.1%, p = 0.056). There was no significant difference in postoperative outcomes between groups when looking at 90-day emergency department visits (1.7% vs. 0%, p = 0.548), complications at two (1.7% vs. 1.7%, p = 1.000) and six weeks (0% vs. 1.7%, p = 0.341) postoperatively, all complications in the first six weeks (1.7% vs. 1.7%, p = 1.000), and continued pain at six weeks (10.3% vs. 16.7%, p = 0.238). Conclusion The brace and no-brace groups were similar demographically. Patients undergoing HA with no brace and crutches experienced no significant differences in pain or complications in comparison to those receiving a traditional bracing protocol. Routine use of a postoperative brace may not be necessary in this population.
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页数:6
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