Outcomes of Revision Hip Arthroscopy: 2-Year Clinical Follow-up

被引:21
作者
Gupta, Asheesh [1 ]
Redmond, John M. [1 ]
Stake, Christine E. [1 ]
Dunne, Kevin F. [1 ]
Hammarstedt, Jon E. [1 ,3 ]
Domb, Benjamin G. [1 ,2 ]
机构
[1] Amer Hip Inst, 1010 Execut Court,Suite 250, Westmont, IL 60559 USA
[2] Hinsdale Orthopaed, Hinsdale, IL USA
[3] Univ Illinois, Chicago, IL USA
关键词
CROSS-OVER-SIGN; ACETABULAR RETROVERSION; FEMOROACETABULAR IMPINGEMENT; 3-DIMENSIONAL CT; OSTEOARTHRITIS; COMPLICATIONS; RADIOGRAPHS; VALIDITY; REPAIR;
D O I
10.1016/j.arthro.2015.11.016
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose: To evaluate clinical outcomes, pain, and patient satisfaction following revision hip arthroscopy with a minimum 2-year follow-up. Methods: From April 2008 to October 2011, data were prospectively collected on all patients undergoing revision hip arthroscopy. All patients were assessed pre- and postoperatively with 4 patient-reported outcome (PRO) measures: the modified Harris hip score (mHHS), nonarthritic hip score (NAHS), hip outcome scoreeactivities of daily living (HOS-ADL), and hip outcome scoreesport-specific subscales (HOS-SSS). Pain was estimated on the visual analog scale (VAS). Patient satisfaction was measured on a scale from 0 to 10. The number of patients who underwent subsequent revision arthroscopy or total hip arthroplasty during the study period is also reported. Results: Eighty-seven patients underwent revision hip arthroscopy during the study period. Seventy (80.5%) patients were included in our study. Average follow-up time was 28 months (range, 20 to 47.4 months). In terms of residual femoroacetabular impingement morphology, 45.7% of patients had preoperative alpha angles >= 55 degrees, and 7.14% of patients had a lateral center-edge angle >= 40 degrees. The score improvement from preoperative to 2-year follow-up was 57.84 to 73.65 for mHHS, 62.79 to 83.04 for HOS-ADL, 37.33 to 54.93 for HOS-SSS, and 55.65 to 70.79 for NAHS. VAS decreased from 6.72 to 4.08. All scores demonstrated statistically significant improvement (P < .001). Overall patient satisfaction was 7.67. Our success rate was 74.58%. Ten (14.29%) patients underwent total hip arthroplasty during the study period. Our hip survivorship was 85.7%. Five (7.14%) patients underwent secondary revision hip arthroscopy during the study period. We found an overall minor complication rate of 10%. Conclusions: Revision hip arthroscopy for all procedures performed on aggregate has improved clinical outcomes for all PROs, high survivorship, and high patient satisfaction scores at short-term follow-up. Patients should be counseled regarding the potential progression of degenerative change leading to arthroplasty and the potential for revision surgery. Level of Evidence: Level IV retrospective case series.
引用
收藏
页码:788 / 797
页数:10
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