Factors increasing risk of failure following hip arthroscopy: a case control study
We aimed to identify factors such as pre-arthroscopy and intra-operative variables that were associated with failure of hip arthroscopy as a joint preserving operation. We performed a retrospective analysis of a database containing 344 consecutive hip arthroscopies performed at our institution. Fort...
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| Veröffentlicht in: | Journal of Hip Preservation Surgery 2018-08, Vol.5 (3), p.240-246 |
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| container_title | Journal of Hip Preservation Surgery |
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| creator | Davies, Owain Grammatopoulos, George Pollard, Tom C B Andrade, Antonio J |
| description | We aimed to identify factors such as pre-arthroscopy and intra-operative variables that were associated with failure of hip arthroscopy as a joint preserving operation. We performed a retrospective analysis of a database containing 344 consecutive hip arthroscopies performed at our institution. Forty-four hips were identified that underwent a subsequent arthroplasty procedure following their hip arthroscopy (cases). Sixty-six control hips (hip arthroscopy with no subsequent arthroplasty) were randomly selected from the same database. Cases and controls were matched for age, sex and follow-up (
= 0.59, 0.48, 0.10, respectively). Pre-operative radiographs/MRI scans plus intra-operative findings were analysed to identify factors associated with failure. Both a lower centre edge angle and higher acetabular index on pre-operative radiographs were associated with higher rates of failure (
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| doi_str_mv | 10.1093/jhps/hny020 |
| format | Article |
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= 0.59, 0.48, 0.10, respectively). Pre-operative radiographs/MRI scans plus intra-operative findings were analysed to identify factors associated with failure. Both a lower centre edge angle and higher acetabular index on pre-operative radiographs were associated with higher rates of failure (
< 0.001). The presence of any acetabular wear at operation was also associated with failure (
< 0.001). Highest rates of failure were seen in hips with both features of dysplasia on pre-operative radiographs and any intra-operative acetabular wear (relative risk: 5, odds ratio: 9.13,
< 0.001). Dysplastic features on pre-operative radiographs and the finding of acetabular wear at hip arthroscopy increase the risk of subsequent arthroplasty. Identification of these features pre-operatively with evolving imaging techniques would improve the results of hip arthroscopy as joint preserving surgery.</description><identifier>ISSN: 2054-8397</identifier><identifier>EISSN: 2054-8397</identifier><identifier>DOI: 10.1093/jhps/hny020</identifier><identifier>PMID: 30393551</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Arthroscopy ; Care and treatment ; Complications ; Complications and side effects ; Endoscopic surgery ; Hip joint ; Joints ; Surgery</subject><ispartof>Journal of Hip Preservation Surgery, 2018-08, Vol.5 (3), p.240-246</ispartof><rights>COPYRIGHT 2018 Oxford University Press</rights><rights>The Author(s) 2018. Published by Oxford University Press. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c336t-b39c451387d6ab079f26b048dc0493bb9602aeeaa53e3b58737a420a83ad89cd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206686/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206686/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30393551$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Davies, Owain</creatorcontrib><creatorcontrib>Grammatopoulos, George</creatorcontrib><creatorcontrib>Pollard, Tom C B</creatorcontrib><creatorcontrib>Andrade, Antonio J</creatorcontrib><title>Factors increasing risk of failure following hip arthroscopy: a case control study</title><title>Journal of Hip Preservation Surgery</title><addtitle>J Hip Preserv Surg</addtitle><description>We aimed to identify factors such as pre-arthroscopy and intra-operative variables that were associated with failure of hip arthroscopy as a joint preserving operation. We performed a retrospective analysis of a database containing 344 consecutive hip arthroscopies performed at our institution. Forty-four hips were identified that underwent a subsequent arthroplasty procedure following their hip arthroscopy (cases). Sixty-six control hips (hip arthroscopy with no subsequent arthroplasty) were randomly selected from the same database. Cases and controls were matched for age, sex and follow-up (
= 0.59, 0.48, 0.10, respectively). Pre-operative radiographs/MRI scans plus intra-operative findings were analysed to identify factors associated with failure. Both a lower centre edge angle and higher acetabular index on pre-operative radiographs were associated with higher rates of failure (
< 0.001). The presence of any acetabular wear at operation was also associated with failure (
< 0.001). Highest rates of failure were seen in hips with both features of dysplasia on pre-operative radiographs and any intra-operative acetabular wear (relative risk: 5, odds ratio: 9.13,
< 0.001). Dysplastic features on pre-operative radiographs and the finding of acetabular wear at hip arthroscopy increase the risk of subsequent arthroplasty. Identification of these features pre-operatively with evolving imaging techniques would improve the results of hip arthroscopy as joint preserving surgery.</description><subject>Arthroscopy</subject><subject>Care and treatment</subject><subject>Complications</subject><subject>Complications and side effects</subject><subject>Endoscopic surgery</subject><subject>Hip joint</subject><subject>Joints</subject><subject>Surgery</subject><issn>2054-8397</issn><issn>2054-8397</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNpVUU1r3DAQFaGhCWlOvQcdC2WTsceS7B4KITQfECiE5CzGsrxWqrVcyW7Zf18tm4aEOcww8-bxZh5jnws4L6DBi-dhShfDuIUSDthxCaJa1dioD2_qI3aa0jMAFKikkOojO0LABoUojtnDNZk5xMTdaKKl5MY1jy794qHnPTm_RMv74H34u5sMbuIU5yGGZMK0_caJG0qWmzDOMXie5qXbfmKHPflkT1_yCXu6_vF4dbu6_3lzd3V5vzKIcl612JhKFFirTlILqulL2UJVdwaqBtu2kVCStUQCLbaiVqioKoFqpK5uTIcn7Pued1raje2MzRrI6ym6DcWtDuT0-8noBr0Of7QsQcpaZoIvLwQx_F5smvXGJWO9p9GGJemyQAChagUZer6Hrslb7cY-ZEaTo7Mbl6-3vcv9SwVQoqikygtf9wsm_ypF27_qKkDvnNM75_TeuYw-e3vKK_a_T_gPlfKW8g</recordid><startdate>20180801</startdate><enddate>20180801</enddate><creator>Davies, Owain</creator><creator>Grammatopoulos, George</creator><creator>Pollard, Tom C B</creator><creator>Andrade, Antonio J</creator><general>Oxford University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180801</creationdate><title>Factors increasing risk of failure following hip arthroscopy: a case control study</title><author>Davies, Owain ; Grammatopoulos, George ; Pollard, Tom C B ; Andrade, Antonio J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c336t-b39c451387d6ab079f26b048dc0493bb9602aeeaa53e3b58737a420a83ad89cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Arthroscopy</topic><topic>Care and treatment</topic><topic>Complications</topic><topic>Complications and side effects</topic><topic>Endoscopic surgery</topic><topic>Hip joint</topic><topic>Joints</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davies, Owain</creatorcontrib><creatorcontrib>Grammatopoulos, George</creatorcontrib><creatorcontrib>Pollard, Tom C B</creatorcontrib><creatorcontrib>Andrade, Antonio J</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of Hip Preservation Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Davies, Owain</au><au>Grammatopoulos, George</au><au>Pollard, Tom C B</au><au>Andrade, Antonio J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors increasing risk of failure following hip arthroscopy: a case control study</atitle><jtitle>Journal of Hip Preservation Surgery</jtitle><addtitle>J Hip Preserv Surg</addtitle><date>2018-08-01</date><risdate>2018</risdate><volume>5</volume><issue>3</issue><spage>240</spage><epage>246</epage><pages>240-246</pages><issn>2054-8397</issn><eissn>2054-8397</eissn><abstract>We aimed to identify factors such as pre-arthroscopy and intra-operative variables that were associated with failure of hip arthroscopy as a joint preserving operation. We performed a retrospective analysis of a database containing 344 consecutive hip arthroscopies performed at our institution. Forty-four hips were identified that underwent a subsequent arthroplasty procedure following their hip arthroscopy (cases). Sixty-six control hips (hip arthroscopy with no subsequent arthroplasty) were randomly selected from the same database. Cases and controls were matched for age, sex and follow-up (
= 0.59, 0.48, 0.10, respectively). Pre-operative radiographs/MRI scans plus intra-operative findings were analysed to identify factors associated with failure. Both a lower centre edge angle and higher acetabular index on pre-operative radiographs were associated with higher rates of failure (
< 0.001). The presence of any acetabular wear at operation was also associated with failure (
< 0.001). Highest rates of failure were seen in hips with both features of dysplasia on pre-operative radiographs and any intra-operative acetabular wear (relative risk: 5, odds ratio: 9.13,
< 0.001). Dysplastic features on pre-operative radiographs and the finding of acetabular wear at hip arthroscopy increase the risk of subsequent arthroplasty. Identification of these features pre-operatively with evolving imaging techniques would improve the results of hip arthroscopy as joint preserving surgery.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>30393551</pmid><doi>10.1093/jhps/hny020</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; Oxford Journals Open Access Collection; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Arthroscopy Care and treatment Complications Complications and side effects Endoscopic surgery Hip joint Joints Surgery |
| title | Factors increasing risk of failure following hip arthroscopy: a case control study |
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