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Wu W, Liu M, Zhou C, Mao H, Wu H, Wu Z, Ma C. Efficacy of Outside-In Hip Arthroscopy without Traction in the Treatment of Hip Synovial Osteochondromatosis. Orthop Surg 2024. [PMID: 39354742 DOI: 10.1111/os.14258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2024] [Revised: 08/20/2024] [Accepted: 09/08/2024] [Indexed: 10/03/2024] Open
Abstract
Arthroscopic treatments of hip synovial osteochondromatosis are mostly performed under traction, resulting in neurovascular injury or iatrogenic damage to the labrum or cartilage. This study aimed to assess the effectiveness of outside-in hip arthroscopy without traction in treating hip synovial osteochondromatosis. This retrospective study was conducted on a series of patients with hip synovial osteochondromatosis treated using outside-in hip arthroscopy without traction in our hospital between 2018 and 2020. Plain radiography and magnetic resonance imaging (MRI) scans were obtained. The Harris hip score (HHS), hip range of motion (ROM), and visual analog scale (VAS) scores were analyzed. The preoperative scores and last follow-up scores were compared with a paired-sample t test. The complications and recurrence postsurgery were recorded. This study included five patients (three male and two female) with an average age of 41 years (range 28-54 years). The mean follow-up time was 25.2 months (range 18-36 months). All patients experienced groin pain relief and improved ROM. The mean VAS score was significantly lower postoperatively (0.4 ± 0.5) than preoperatively (3.2 ± 0.8) (p < 0.001). The mean HHS improved from 58.6 ± 12.7 (range 43-73) to 89.8 ± 5.26 (range 81-95) (p < 0.001). No major complications, including infection, perineal numbness and swelling, neurotrosis, thromboembolism, or severe persistent pain, were reported. Synovial osteochondromatosis recurred in one patient after 2 years of follow-up without any obvious symptoms such as hip pain or joint locking. Therefore, no further treatment was necessary. This study showed that outside-in hip arthroscopy without traction might be a viable option for treating hip synovial osteochondromatosis, effectively and safely relieving symptoms with minimal complications, especially in patients without lesions in the central compartment.
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Affiliation(s)
- Weigang Wu
- Department of Orthopedics Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China
- Orthopedics Research Institute of Zhejiang University, Hangzhou, PR China
- Key Laboratory of Motor System Disease Research and Precision Therapy of Zhejiang Province, Hangzhou, PR China
| | - Meng Liu
- Department of Orthopedics Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China
- Orthopedics Research Institute of Zhejiang University, Hangzhou, PR China
- Key Laboratory of Motor System Disease Research and Precision Therapy of Zhejiang Province, Hangzhou, PR China
| | - Chenhe Zhou
- Department of Orthopedics Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China
- Orthopedics Research Institute of Zhejiang University, Hangzhou, PR China
- Key Laboratory of Motor System Disease Research and Precision Therapy of Zhejiang Province, Hangzhou, PR China
| | - Huajie Mao
- Department of Orthopedics Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China
- Orthopedics Research Institute of Zhejiang University, Hangzhou, PR China
- Key Laboratory of Motor System Disease Research and Precision Therapy of Zhejiang Province, Hangzhou, PR China
| | - Huiguo Wu
- People's Hospital of Changxing County, Huzhou, PR China
| | - Zhiqiang Wu
- Suichang County People's Hospital in Zhejiang Province, Lishui, PR China
| | - Chiyuan Ma
- Department of Orthopedics Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China
- Orthopedics Research Institute of Zhejiang University, Hangzhou, PR China
- Key Laboratory of Motor System Disease Research and Precision Therapy of Zhejiang Province, Hangzhou, PR China
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Arriaza CR, Navarrete CA, Palos J, Suarez-Ahedo C. Traction-related complications in hip arthroscopy for 26 years. A systematic review. J Hip Preserv Surg 2023; 10:69-74. [PMID: 37900890 PMCID: PMC10604058 DOI: 10.1093/jhps/hnad007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 01/05/2023] [Accepted: 03/01/2023] [Indexed: 10/31/2023] Open
Abstract
The primary aim of the study is to determine the rate of traction-related complications in hip arthroscopy (HA) including perineal compression and distraction injuries, and the secondary objective is to report the incidence of complications in HA found on the studies selected by a systematic review. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used for data extraction from the PubMed and Cochrane databases obtained in February 2022. Reviewers extracted the title, author, date of publication, number of hips treated and number of complications describing the affected area, nerve and soft tissue injury related to traction. Studies on postless HA and HA combined with other procedures were excluded. Twenty-six years of HA literature was found in the search that included 35 studies and 8126 hips (89% Level IV) that reported the complications found during the procedure and described complications related to traction. A total of 623 hips (7.7%) had some sort of complications during HA, and complications related to traction were in 227 hips (36%). Injuries caused specifically by the perineal compression were in 144 hips (23%) that included the pudendal nerve and soft tissue injury of the groin area. Complications caused by the distraction were in 83 hips (13%) that included sciatic and peroneal nerve injury, numbness or pain of ankle and foot. HA complications occurred in 7.7% of hips treated, which is found in this systematic review. One-third of the complications are related to traction, 23% are caused by perineal compression and 13% are caused by distraction.
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Affiliation(s)
- Carlos R Arriaza
- Department of Orthopaedic Surgery and Hip Arthroscopy, Hospital Herrera Llerandi, 6A avenida 8-71, Guatemala City, Guatemala
- Department of Adult Hip and Knee Reconstruction, Instituto Nacional de Rehabilitacion LGII, Calz. México Xochimilco No. 289 Col. Arenal de Guadalupe, Mexico City C.P.14389, Mexico
| | - Carlos Andrés Navarrete
- Department of Adult Hip and Knee Reconstruction, Instituto Nacional de Rehabilitacion LGII, Calz. México Xochimilco No. 289 Col. Arenal de Guadalupe, Mexico City C.P.14389, Mexico
- Department of Hip Preservation Surgery, Centro de Especialidades Ortopedicas, Av. Mariana de Jesús OE7-02 y Nuño de Valderrama P.B, Quito, Ecuador
| | - Jaime Palos
- Department of Adult Hip and Knee Reconstruction, Instituto Nacional de Rehabilitacion LGII, Calz. México Xochimilco No. 289 Col. Arenal de Guadalupe, Mexico City C.P.14389, Mexico
- Department of Sports Medicine and Arthroscopy, Hospital Central Dr. Ignacio Morones Prieto, Avenida Venustiano Carranza No. 2395, San Luis Potosi C.P. 78290, Mexico
| | - Carlos Suarez-Ahedo
- Department of Adult Hip and Knee Reconstruction, Instituto Nacional de Rehabilitacion LGII, Calz. México Xochimilco No. 289 Col. Arenal de Guadalupe, Mexico City C.P.14389, Mexico
- Department of Orthopaedic Surgery, Hospital Medica Sur SA, Puente de Piedra 150, Toriello Guerra, Tlalpan, Mexico City C.P. 14050, Mexico
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Matsunaga T, Kamachi Y, Kinoshita K, Sakamoto T, Yamamoto T. Magnetic Resonance Imaging Assessment of Abductor Muscles Shortly After Curved Periacetabular Osteotomy. J Arthroplasty 2021; 36:429-433. [PMID: 32933799 DOI: 10.1016/j.arth.2020.08.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 08/15/2020] [Accepted: 08/20/2020] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND Curved periacetabular osteotomy (CPO) is performed via an anterior approach without detachment of the hip abductor muscles. This study aimed to evaluate the abductor muscle status shortly after CPO on magnetic resonance imaging (MRI). METHODS We prospectively evaluated 38 hips in 38 patients 1 week and 3 months after CPO between October 2017 and July 2019. The status of the abductor muscles was assessed on MRI using the following criteria: grade 0, normal; grade I, strain/edema; grade II, partial tear; and grade III, complete tear. We also evaluated associations between muscle status and patients' characteristics. RESULTS One week after CPO, the gluteus maximus was classified as grade 0 in all patients. The gluteus medius was grade 0 in 84.2% of patients and grade I in 15.8%. The gluteus minimus was grade I in 55.3% of patients and grade II in 44.7%. Three months after CPO, both the gluteus maximus and gluteus medius were grade 0 in all patients, while the gluteus minimus was still grade I in 47.4%. There were no significant differences between patients with a grade 0 and grade I gluteus minimus at 3 months after CPO in patients' characteristics (age and body mass index) or clinical scores (Harris Hip Score and Japanese Orthopedics Association score). CONCLUSION Both the gluteus minimus and medius showed abnormal appearances on MRI 1 week after CPO, whereas only the gluteus minimus showed abnormalities 3 months after CPO. This abductor muscle status did not affect the postoperative Harris Hip Score or Japanese Orthopedics Association score.
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Affiliation(s)
- Taiki Matsunaga
- Department of Orthopedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan
| | - Yuki Kamachi
- Department of Orthopedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan
| | - Koichi Kinoshita
- Department of Orthopedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan
| | - Tetsuya Sakamoto
- Department of Orthopedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan
| | - Takuaki Yamamoto
- Department of Orthopedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan
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Kunze KN, Beck EC, Okoroha KR, Chahla J, Suppauksorn S, Bush-Joseph CA, Katakam A, Nho SJ. Effect of prior ipsilateral lower extremity surgery on 2-year outcomes following hip arthroscopy for femoroacetabular impingement syndrome. J Hip Preserv Surg 2019; 6:241-248. [PMID: 32337062 PMCID: PMC7171797 DOI: 10.1093/jhps/hnz031] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Revised: 05/29/2019] [Accepted: 06/23/2019] [Indexed: 11/13/2022] Open
Abstract
The purpose of this study was to determine the influence of prior lower extremity surgery on patient reported outcomes following hip arthroscopy for femoroacetabular impingement syndrome (FAIS). Consecutive patients who underwent hip arthroscopy for FAIS and a prior history of ipsilateral lower extremity surgery were identified and matched 2:1 by age, gender, and body mass index (BMI) to controls without a history of lower extremity surgery. The minimal clinically important difference (MCID) and patient acceptable symptomatic state (PASS) were calculated for HOS–ADL, HOS–SS, and mHHS. Preoperative and 2-year postoperative patient reported outcomes of both groups were compared, and logistic regression was performed to determine whether lower extremity surgery influenced achieving MCID and PASS. A total of 102 patients (24.94%) with prior history of ipsilateral lower extremity surgery were identified. Ipsilateral orthopaedic knee surgery accounted for more than half (53.92%) of all prior surgeries. Patients with a history of ipsilateral lower extremity surgery had significant lower 2-year PROs, satisfaction, and greater pain when compared to patients without lower extremity surgery (P < 0.001 all). A history of ipsilateral lower extremity surgery was a negative predictor of achieving MCID for HOS–ADL and HOS–SS, as well as PASS for HOS–ADL, HOS–SS, and mHHS (P < 0.001 all). In conclusion, patients with prior lower extremity surgery were found to have inferior outcome scores and a lower likelihood of achieving clinically significant outcome improvement compared to patients without a history of lower extremity surgery at two years postoperatively.
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Affiliation(s)
- Kyle N Kunze
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
| | - Edward C Beck
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
| | - Kelechi R Okoroha
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
| | - Jorge Chahla
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
| | - Sunikom Suppauksorn
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
| | | | - Akhil Katakam
- Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
| | - Shane J Nho
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
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Carreira DS, Kruchten MC, Emmons BR, Startzman AN, Martin RL. A Characterization of Sensory and Motor Neural Dysfunction in Patients Undergoing Hip Arthroscopic Surgery: Traction- and Portal Placement-Related Nerve Injuries. Orthop J Sports Med 2018; 6:2325967118797306. [PMID: 30320143 PMCID: PMC6154260 DOI: 10.1177/2325967118797306] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background There is a paucity of prospectively collected data as they relate to nerve injuries after hip arthroscopic surgery. Studies describing the relationship of neurological injuries to portal placement and the duration and magnitude of traction force with regular and standardized patient follow-up protocols are limited. Purpose/Hypothesis The purpose of this study was to characterize nerve deficits in a series of patients undergoing hip arthroscopic surgery as these deficits relate to axial traction and portal placement. It was hypothesized that in patients who presented without nerve deficits after surgery, the magnitudes of traction-related measurements would exceed previous recommendations based on expert opinion (<50 lb). Additionally, it was hypothesized that sensory disturbance would commonly be observed (≥16%) localized to the distal anterolateral thigh related to portal placement. Study Design Case series; Level of evidence, 4. Methods A total of 45 patients scheduled to undergo hip arthroscopic surgery between July 2012 and February 2014 were included in this study. Traction force was measured and recorded every 5 minutes during surgery, and patients were assessed by a physical examination for deficits in light touch sensitivity at all lower extremity dermatomes preoperatively and at 3 weeks, 6 weeks, 3 months, and 1 year postoperatively. Patients were also tested for strength deficits and rated on the manual muscle testing grading scale. Patients reported modified Harris Hip Score (mHHS), Hip Outcome Score-Activities of Daily Living and -Sport subscales (HOS-ADL and HOS-Sport, respectively), Short Form-12 (SF-12) mental and physical component summaries, and international Hip Outcome Tool-12 (iHOT-12) scores preoperatively and at 1 year postoperatively. Results Thresholds for maximum traction force, mean traction force, duration of traction, and traction impulse were 120 lb, 82 lb, 61 minutes, and 7109 lb·min, respectively, below which no patients presented with sensory or motor dysfunction thought to be related to traction. A minority (17.8%) of patients presented with highly localized, distal anterolateral sensory deficits suggestive of injuries related to portal placement, and 2.2% of patients presented with perineal numbness localized to the distribution of the pudendal nerve. All nerve deficits had resolved by 1-year follow-up. Conclusion This study suggests that it may be possible to apply more axial traction force for a longer duration than expert opinion has previously suggested, without significant and, in the majority of cases (82.2%), any traction-related short-term complications. Transient traction- and portal placement-related nerve injuries after hip arthroscopic surgery may be more frequent (31.1% in this study) than have been reported historically.
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Affiliation(s)
| | - Matthew C Kruchten
- Florida Institute of Orthopaedic Surgical Specialists, Fort Lauderdale, Florida, USA
| | | | - Ashley N Startzman
- Department of Orthopedics, Broward Health Medical Center, Fort Lauderdale, Florida, USA
| | - RobRoy L Martin
- Department of Physical Therapy, Duquesne University, Pittsburgh, Pennsylvania, USA
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6
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Ekhtiari S, Haldane CE, de SA D, Simunovic N, Wong IH, Farrokhyar F, Ayeni OR. The use of antibiotic prophylaxis in hip arthroscopy is under-reported and lacks evidence-based guidelines: a systematic review and survey. J ISAKOS 2018. [DOI: 10.1136/jisakos-2017-000157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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7
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Haldane CE, Ekhtiari S, de Sa D, Simunovic N, Safran M, Randelli F, Duong A, Farrokhyar F, Ayeni OR. Venous Thromboembolism Events After Hip Arthroscopy: A Systematic Review. Arthroscopy 2018; 34:321-330.e1. [PMID: 28969946 DOI: 10.1016/j.arthro.2017.07.006] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2017] [Revised: 07/05/2017] [Accepted: 07/05/2017] [Indexed: 02/02/2023]
Abstract
PURPOSE The purpose of this systematic literature review focused on hip arthroscopy was to (1) report the venous thromboembolism (VTE) event incidence in patients who receive VTE prophylaxis and those who do not, (2) report how VTE prophylaxis is currently being administered, and (3) report operative and patient-related risk factors for VTE identified in the literature. METHODS The electronic databases MEDLINE, Embase, and PubMed were searched from database inception to October 10, 2016, and screened in duplicate for relevant studies. Data were collected regarding VTE prophylaxis, traction use, surgical time, VTE incidence, patient and operative factors, and postoperative weight bearing and rehabilitation. Study quality was assessed in duplicate with the Methodological Index for Non-Randomized Studies criteria. RESULTS Outcome analyses included 14 studies that involved 2,850 patients (2,985 hips). The weighted mean follow-up period was 19 ± 8 months, ranging from 7 days to 103 months. The weighted mean age was 40.7 ± 7 years, ranging from 6 to 82 years, and 39.6% of patients were male patients. The overall weighted proportion of VTE events after hip arthroscopy found in 14 included studies was 2.0% (95% confidence interval, 0.01%-4.1%), with 25 VTE events. Several studies reported patient risk factors, which included increased age, increased body mass index, prolonged traction time, and use of oral contraceptives. CONCLUSIONS The use and efficacy of VTE prophylaxis are highly under-reported within hip arthroscopy. The low incidence of VTE events found in this review (2.0%) suggests that prophylaxis may not be necessary in low-risk patients undergoing hip arthroscopy; however, the true rate may be under-reported. Current literature suggests that prophylaxis is typically not prescribed. Early mobility and postoperative rehabilitation may also help to further mitigate the risk of VTE events, but use of these strategies needs further prospective evaluation. LEVEL OF EVIDENCE Level IV, systematic review of Level II through IV studies.
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Affiliation(s)
- Chloe E Haldane
- Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada
| | - Seper Ekhtiari
- Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada
| | - Darren de Sa
- Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada
| | - Nicole Simunovic
- Department of Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Marc Safran
- Department of Orthopaedic Surgery, Stanford University, Redwood City, California, U.S.A
| | - Filippo Randelli
- Dipartimento di Ortopedia e Traumatologia V, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Policlinico San Donato, Milan, Italy
| | - Andrew Duong
- Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada
| | - Forough Farrokhyar
- Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada; Department of Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Olufemi R Ayeni
- Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
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8
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Seijas R, Ares O, Sallent A, Cuscó X, Álvarez-Díaz P, Tejedor R, Cugat R. Hip arthroscopy complications regarding surgery and early postoperative care: retrospective study and review of literature. Musculoskelet Surg 2016; 101:119-131. [PMID: 27928731 DOI: 10.1007/s12306-016-0444-x] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2016] [Accepted: 11/27/2016] [Indexed: 11/24/2022]
Abstract
PURPOSE The purpose is to describe the rate of complications in a series of hip arthroscopies performed at our center, as well as perform a systematic review of the current literature in order to compare our outcomes. METHODS Two hundred and fifty-eight patients affected of femoroacetabular impingement and treated with hip arthroscopy have been studied. All minor and major complications were studied during the first postsurgery year. Furthermore, a systematic review was performed comparing major and minor complications with our series. Two attending orthopedic surgeons selected the different studies with the same inclusion and exclusion criteria, remaining with 48 studies that have been reviewed and included in the present study. RESULTS Mean age was 36.6 years old (SD 17.45), and the ratio men:women was 137:121. The mean complication rate observed was 14.34% (37/258) of global complications. Only three patients showed major complications: femoral neck fracture, septic arthritis and avascular necrosis of the femoral head. Any of these patients had permanent side effects. CONCLUSIONS Hip arthroscopy has a low rate of major complications, but a higher number of minor complications that could be avoided with certain preventive measures.
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Affiliation(s)
- R Seijas
- Department of Orthopaedic Surgery, Artroscopia GC - Fundación García Cugat, Hospital Quirón Barcelona, Barcelona, Spain.,Universitat Internacional de Catalunya, Barcelona, Spain
| | - O Ares
- Department of Orthopaedic Surgery, Artroscopia GC - Fundación García Cugat, Hospital Quirón Barcelona, Barcelona, Spain.,Universitat Internacional de Catalunya, Barcelona, Spain
| | - A Sallent
- Department of Orthopaedic Surgery, Hospital Vall d'Hebron, Paseo Vall d'Hebron, 119-129, Barcelona, Spain.
| | - X Cuscó
- Department of Orthopaedic Surgery, Artroscopia GC - Fundación García Cugat, Hospital Quirón Barcelona, Barcelona, Spain.,Universitat Internacional de Catalunya, Barcelona, Spain
| | - P Álvarez-Díaz
- Department of Orthopaedic Surgery, Artroscopia GC - Fundación García Cugat, Hospital Quirón Barcelona, Barcelona, Spain.,Universitat Internacional de Catalunya, Barcelona, Spain.,Mutualitat Catalana de Futbolistes of Spanish Soccer Federation, Barcelona, Spain
| | - R Tejedor
- Department of Orthopaedic Surgery, Artroscopia GC - Fundación García Cugat, Hospital Quirón Barcelona, Barcelona, Spain.,School of Medicine, Hospital Clínic Barcelona, University of Barcelone, Barcelone, Spain
| | - R Cugat
- Department of Orthopaedic Surgery, Artroscopia GC - Fundación García Cugat, Hospital Quirón Barcelona, Barcelona, Spain.,Mutualitat Catalana de Futbolistes of Spanish Soccer Federation, Barcelona, Spain
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9
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Park JY, Chung WC, Kim CK, Huh SH, Kim SJ, Jung BH. Arthroscopic Reduction and Transportal Screw Fixation of Acetabular Posterior Wall Fracture: Technical Note. Hip Pelvis 2016; 28:120-6. [PMID: 27536654 PMCID: PMC4972886 DOI: 10.5371/hp.2016.28.2.120] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2016] [Revised: 04/12/2016] [Accepted: 04/28/2016] [Indexed: 11/24/2022] Open
Abstract
Acetabular fractures can be treated with variable method. In this study, acetabular posterior wall fracture was treated with arthroscopic reduction and fixation using cannulated screw. The patient recovered immediately and had a satisfactory outcome. In some case of acetabular fracture could be good indication with additional advantages of joint debridement and loose body removal. So, we report our case with technical note.
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Affiliation(s)
- Jin Young Park
- Department of Orthopaedic Surgery, St. Carollo Hospital, Suncheon, Korea
| | - Woo Chull Chung
- Department of Orthopaedic Surgery, St. Carollo Hospital, Suncheon, Korea
| | - Che Keun Kim
- Department of Orthopaedic Surgery, St. Carollo Hospital, Suncheon, Korea
| | - Soon Ho Huh
- Department of Orthopaedic Surgery, St. Carollo Hospital, Suncheon, Korea
| | - Se Jin Kim
- Department of Orthopaedic Surgery, St. Carollo Hospital, Suncheon, Korea
| | - Bo Hyun Jung
- Department of Orthopaedic Surgery, St. Carollo Hospital, Suncheon, Korea
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10
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Morphologic and angular planning for cam resection in femoro-acetabular impingement: value of the omega angle. INTERNATIONAL ORTHOPAEDICS 2015; 40:2011-2017. [DOI: 10.1007/s00264-015-3053-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/11/2015] [Accepted: 11/04/2015] [Indexed: 10/22/2022]
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11
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Wu Z, Chen S, Li Y, Li H, Chen J. Effect of centre-edge angle on clinical and quality of life outcomes after arthroscopic acetabular labral debridement. INTERNATIONAL ORTHOPAEDICS 2015. [PMID: 26220148 DOI: 10.1007/s00264-015-2923-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
PURPOSE The aim of this study was to compare clinical and quality of life outcomes following arthroscopic acetabular labral debridement between patients with different centre-edge (CE) angle. METHODS A total of 79 patients who underwent hip labral debridement were enrolled in this study. Radiographic measurements of CE angle were collected, and patients were assigned into a normal group (25° < CE angle <40°, n = 68) and dysplasia group (CE angle <20°, n = 11). Clinical outcomes were evaluated by modified Harris Hip Score (mHHS), Hip Outcome Score (HOS) for activities of daily living (ADL) and sports and Short Form 12 (SF-12). RESULTS At the final follow-up, the normal group showed significant improvements in mHHS, HOS (ADL and sports) and SF-12 (P < 0.05). However, the dysplasia group revealed significant improvements in mHHS, HOS (ADL) and SF-12 physical component summary (PCS) (P < 0.05) and no significant changes in HOS sports and SF-12 mental component summary (MCS) (P > 0.05). Additionally, there was a greater improvement in clinical scores post-operatively in the normal group compared with the dysplasia group (P < 0.05). CONCLUSIONS Arthroscopic acetabular labral debridement resulted in significantly greater clinical and quality of life outcomes in patients with CE angle >25° compared with patients with CE angle < 20°.
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Affiliation(s)
- Ziying Wu
- Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Shiyi Chen
- Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Yunxia Li
- Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Hong Li
- Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Jiwu Chen
- Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.
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