A Comparative Cohort Study With a 20-Year Age Gap: Hip Resurfacing in Patients Aged ≤35 Years and Patients Aged ≥55 Years

Morgenstern, Richard D.; Denova, Thomas Alastair; Ren, Renee; Su, Edwin P.

doi:10.1016/j.artd.2020.11.006

Cited by 3 publications

(3 citation statements)

References 46 publications

(52 reference statements)

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“…121 However, until there is reliable reporting of the preparations and delivery of biologics within studies, it will remain challenging to interpret the clinical effectiveness of these treatment adjuncts in hip arthroscopy surgery. 122 Furthermore, with the evolving longevity and high patient satisfaction of THA, 123,124 as well as the excellent outcomes seen with hip resurfacing in younger patients, [125][126][127] hip surgeons may opt to use early resurfacing/arthroplasty as a definitive treatment option for severe chondral damage and joint degeneration, rather than pursuing biological strategies not yet supported by robust evidence.…”

Section: Authors Year Journal Trial Name Level Of Evidence Outcomementioning

confidence: 99%

Pre- and intraoperative decision-making challenges in hip arthroscopy for femoroacetabular impingement

Martin

Robinson

Maempel

et al. 2022

The Bone & Joint Journal

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There has been a marked increase in the number of hip arthroscopies performed over the past 16 years, primarily in the management of femoroacetabular impingement (FAI). Insights into the pathoanatomy of FAI, and high-level evidence supporting the clinical effectiveness of arthroscopy in the management of FAI, have fuelled this trend. Arthroscopic management of labral tears with repair may have superior results compared with debridement, and there is now emerging evidence to support reconstructive options where repair is not possible. In situations where an interportal capsulotomy is performed to facilitate access, data now support closure of the capsule in selective cases where there is an increased risk of postoperative instability. Preoperative planning is an integral component of bony corrective surgery in FAI, and this has evolved to include computer-planned resection. However, the benefit of this remains controversial. Hip instability is now widely accepted, and diagnostic criteria and treatment are becoming increasingly refined. Instability can also be present with FAI or develop as a result of FAI treatment. In this annotation, we outline major current controversies relating to decision-making in hip arthroscopy for FAI. Cite this article: Bone Joint J 2022;104-B(5):532–540.

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Section: Authors Year Journal Trial Name Level Of Evidence Outcomementioning

confidence: 99%

Pre- and intraoperative decision-making challenges in hip arthroscopy for femoroacetabular impingement

Martin

Robinson

Maempel

et al. 2022

The Bone & Joint Journal

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“…Clinical research investigating the role of inflammation in the development of osteoarthritis have increased in recent years 8 . Inflammatory mediators such chemokines and adipokines are released from skeletal mass, according to the literature, ultimately leading to articular degeneration 9 . Primary Osteoarthritis occurs when the underlying cause is unknown, while secondary Osteoarthritis has a known etiology.…”

Section: Introductionmentioning

confidence: 99%

Association of risk factors with early knee osteoarthritis in patients presented to tertiary care hospital

Ahmed¹,

Saeed²,

Murad³

et al. 2023

ijhs

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Aim: To determine the risk factors associated with early knee osteoarthritis in patients presented to tertiary care hospital. Methods: This cross sectional study was conducted on 120 patients presenting with early knee osteoarthritis at Sialkot Medical College Sialkot Pakistan from November, 2022 to April, 2023. We assessed the risk factors associated with early knee osteoarthritis. Results: Mean age recorded was 50.80±8.94 years. Majority of the patients were females. About 30% of the patients were house wives while 53.3% were office employees and 16.7% were laborers. About 20% patients had normal BMI while 35% overweight and 45% obese. About 60% patients were diabetic and 69.2% patients had vitamin D deficiency. Conclusion: Profession, obesity, diabetes and vitamin D deficiency are leading risk factors with early knee osteoarthritis in patients.

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“…Hip resurfacing arthroplasty (HRA) and total hip arthroplasty (THA) are two treatment options for end-stage degenerative hip conditions including osteoarthritis, avascular necrosis, and inflammatory arthritis [ [1] , [2] , [3] , [4] ]. Both procedures offer pain relief, return to function [ 5 , 6 ], and restoration of natural hip biomechanics [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Hip Resurfacing vs Total Hip Arthroplasty in Patients Younger than 35 Years: A Comparison of Revision Rates and Patient-Reported Outcomes

et al. 2021

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Background: Hip resurfacing arthroplasty (HRA) and total hip arthroplasty (THA) are two treatment options for end-stage degenerative hip conditions. The objective of this single-center retrospective cohort study was to compare implant survival and patient-reported outcomes (PROs) in young patients (35 years) who underwent HRA or THA. Methods: All patients aged 35 years or younger who underwent HRA or THA with a single high-volume arthroplasty surgeon between 2004 and 2015 were reviewed. The sample included 33 THAs (26 patients) and 76 HRAs (65 patients). Five-year implant survival and minimum 2-year PROs were compared between patient cohorts. Results: Three patients in the THA group (9%) were revised within 5 years for instability (n ¼ 1), squeaking (n ¼ 1), or squeaking with a ceramic liner fracture (n ¼ 1). No patients who underwent HRA were revised. The University of California, Los Angeles, activity score, modified Harris Hip score, and Hip Dysfunction and Osteoarthritis Outcome Scores for Joint Replacement increased by 74%, 64%, and 49%, respectively, among all patients. Compared to the HRA cohort, patients who underwent THA had lower preoperative and postoperative University of California, Los Angeles, activity, modified Harris Hip score, and Hip Dysfunction and Osteoarthritis Outcome Scores for Joint Replacement scores, yet there were no differences in the absolute improvements in any of the three measures between the two groups. Conclusions: Excellent functional outcomes were seen in young patients undergoing either HRA or THA. Although young patients undergoing THA started at lower preoperative baseline and postoperative PROs than patients undergoing HRA, both groups improved by an equal amount after surgery, suggesting that both HRA and THA afford a similar degree of potential improvement in a young population.

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A Comparative Cohort Study With a 20-Year Age Gap: Hip Resurfacing in Patients Aged ≤35 Years and Patients Aged ≥55 Years

Cited by 3 publications

References 46 publications

Pre- and intraoperative decision-making challenges in hip arthroscopy for femoroacetabular impingement

Pre- and intraoperative decision-making challenges in hip arthroscopy for femoroacetabular impingement

Association of risk factors with early knee osteoarthritis in patients presented to tertiary care hospital

Hip Resurfacing vs Total Hip Arthroplasty in Patients Younger than 35 Years: A Comparison of Revision Rates and Patient-Reported Outcomes

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