Tradução e adaptação transcultural do "Harris Hip Score modificado por Byrd"

Revista Brasileira de Ortopedia (English Edition)

Júnior

et al. 2017

ObjectiveTo compare clinical and imaging results and complications between patients treated for femoroacetabular impingement (FAI) who underwent either anterior open surgery or an arthroscopic approach, with a minimum follow-up of two years.MethodsThis retrospective case–control study included patients submitted to FAI surgical treatment between November 2007 and March 2012. Patients treated with open surgery were compared with those treated with arthroscopy. Patients were clinically assessed by the modified Harris Hip Score, Non-Arthritic Hip Score, and internal hip rotation. Patients were radiographically assessed by the center-edge angle, joint space width, alpha angle, neck-head index, degree of arthrosis, and presence of heterotopic ossification of the hip.ResultsIn the study period, 56 patients (58 hips) with FAI were included; 16 underwent open surgery and 40 underwent arthroscopy. The 40 patients treated by the arthroscopic route had a mean follow-up of 29.1 months, and 75.6% presented good or excellent clinical results. The radiographic evaluation parameters progressed to normal levels. The 16 patients who underwent open surgery had a mean follow-up of 52 months, and 70.58% presented good or excellent clinical results. The radiographic evaluation parameters progressed to normal levels. Postoperative clinical and radiographic results were considered similar in both groups.ConclusionsArthroscopy and open surgery treatments for FAI provided comparable clinical and radiographic results. However, a higher rate of complications was observed in the open surgery group.

Section: Methodsmentioning

confidence: 99%

“…According to the Harris Hip Score modified by Byrd, 13 results were stratified as poor (MHHS < 70 points), fair (70–79 MHHS), good (MHHS 80–89), or excellent (MHHS 90–100). 10 …”

Section: Methodsmentioning

confidence: 99%

Open versus arthroscopic approach in the treatment of femoroacetabular impingement: a case–control study with two-years follow up

Revista Brasileira de Ortopedia (English Edition)

Júnior

et al. 2017

“…Regarding clinical aspects, the patients were evaluated pre- and postoperatively according to the Harris Hip Score modified by Byrd (MHHS) apud Guimarães et al 9 …”

Section: Methodsmentioning

confidence: 99%

Arthroscopic subcapital realignment osteotomy in chronic and stable slipped capital femoral epiphysis: early results

Assis

Revista Brasileira de Ortopedia (English Edition)

et al. 2017

ObjectiveThis study aimed to evaluate the clinical and radiographic outcomes, as well as the complications of arthroscopic subcapital realignment osteotomy in chronic and stable slipped capital femoral epiphysis (SCFE). As indicated by the literature review, this is the first time this type of arthroscopic osteotomy was described.MethodsBetween June 2012 and December 2014, seven patients were submitted to arthroscopic subcapital realignment osteotomy in chronic and stable SCFE. The mean age was 11 years and 4 months, and the mean follow-up period was 16.5 months (6–36). Clinical results were evaluated using the Modified Harris Hip Score (MHHS), which was measured pre- and postoperatively. Radiographs were evaluated using the Southwick quantitative classification and the epiphysis–diaphysis angle (pre- and postoperatively). Complications were assessed.ResultsThe mean preoperative MHHS was 35.8 points, and 97.5 points post-operatively (p < 0.05). Radiographically, five patients were classified as Southwick classification grade II and two as grade III. The mean correction of the epiphysis-diaphysis angle was 40°. No immediate postoperatively complications were observed. One patient presented femoral head avascular necrosis, without collapse or chondrolysis at the most recent follow-up (22 months)ConclusionThe arthroscopic technique presented for subcapital realignment osteotomy in chronic and stable SCFE showed satisfactory clinical and radiographic outcomes in a 16.5 months follow-up period.

“…Regarding clinical matters, the patients were evaluated before and after the operation using the Harris Hip Score, as modified by Byrd 14 (MHHS), Non-Arthritic Hip Score 15 (NAHS) and the degree of internal rotation of the hip affected (with the use of a goniometer for measurements).…”

Section: Methodsmentioning

confidence: 99%

“…From the Harris Hip Score as modified by Byrd, 14 the results were stratified as poor (MHHS < 70 points), fair (MHHS 70–79 points), good (MHHS 80–89 points) and excellent (MHHS 90–100). 4 …”

Section: Methodsmentioning

confidence: 99%

Extracapsular approach for arthroscopic treatment of femoroacetabular impingement: clinical and radiographic results and complications

Revista Brasileira de Ortopedia (English Edition)

Júnior

et al. 2015

ObjectivesTo evaluate the clinical and radiographic results and complications relating to patients undergoing arthroscopic treatment for femoroacetabular impingement by means of an extracapsular approach.MethodsBetween January 2011 and March 2012, 49 patients (50 hips) underwent arthroscopic treatment for femoroacetabular impingement, performed by the hip surgery team of the Orthopedic Hospital of Passo Fundo, Rio Grande do Sul. Forty patients (41 hips) fulfilled all the requirements for this study. The mean follow-up was 29.1 months. The patients were assessed clinically by means of the Harris Hip score, as modified by Byrd (MHHS), the Non-Arthritic Hip score (NAHS) and the internal rotation of the hip. Their hips were also evaluated radiographically, with measurement of the CE angle, dimensions of the joint space, alpha angle, neck-head index, degree of arthrosis and presence of heterotopic ossification of the hip.ResultsOut of the 41 hips treated, 31 (75.6%) presented good or excellent clinical results. There was a mean postoperative increase of 22.1 points for the MHHS, 21.5 for the NAHS and 16.4̊ for the internal rotation of the hip (p < 0.001). Regarding the radiographic evaluation, correction to normal values was observed for the alpha angle and neck-head index, with a mean postoperative decrease of 32.9̊ and mean increase of 0.10, respectively (p < 0.001).ConclusionArthroscopic treatment of femoroacetabular impingement by means of an extracapsular approach presented satisfactory clinical and radiographic results over a mean follow-up of 29.1 months, with few complications.