Arthroscopic Partial Limbectomy in Hip Joints With Acetabular Hypoplasia

Yamamoto, Yasuhiro; Ide, Tatsuya; Nakamura, Masahiro; Hamada, Y.; Usui, Ikuo

doi:10.1016/j.arthro.2005.01.003

Cited by 42 publications

(24 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similarly, several studies have demonstrated that patients with underlying acetabular dysplasia may be at risk for poor short-term outcomes when treated with hip arthroscopy alone (rather than as an adjunct to open surgery) including persistent pain and iatrogenic instability after labral débridement or capsulotomy [11,13,16,20]. Parvizi et al [11,16,20] reviewed 34 patients with acetabular dysplasia who were referred after failed arthroscopic treatment at a mean 3.5 years after hip arthroscopy.…”

Section: Discussionmentioning

confidence: 99%

“…Parvizi et al [11,16,20] reviewed 34 patients with acetabular dysplasia who were referred after failed arthroscopic treatment at a mean 3.5 years after hip arthroscopy. Seventy percent of patients failed to have notable improvement in symptoms after arthroscopy.…”

Section: Discussionmentioning

confidence: 99%

“…Seventy-nine percent of these patients developed osteoarthritis or femoral head migration at a mean followup of 3 years. Yamamoto et al [20] noted femoral head migration in one of 10 patients undergoing hip arthroscopy with underlying dysplasia. Byrd and Jones [3] reported patients with 48 dysplastic or borderline dysplastic hips at a mean followup of 2 years.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Persistent Structural Disease Is the Most Common Cause of Repeat Hip Preservation Surgery

Clohisy

Nepple

Larson

et al. 2013

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Hip preservation surgery has become more commonplace, yet when it fails, it is unclear why it does so. Understanding failed procedures should lead to improved surgical results. Questions/purposes The purposes of this study were to (1) characterize patients undergoing hip preservation surgery after prior procedures; (2) compare demographics, hip pain, and function in patients with prior procedures with those undergoing primary surgery; (3) determine the types of previous procedures and the reasons for secondary surgery; and (4) report the procedure profile of the secondary surgeries. Methods A prospective, multicenter hip preservation database of 2263 patients (2386 surgery cases) was reviewed to identify 352 patients (359 hips, 15% of the total) who had prior surgery. Patient demographics, type of previous surgery, diagnostic categories, clinical scores, and type of secondary procedure were recorded.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Persistent Structural Disease Is the Most Common Cause of Repeat Hip Preservation Surgery

Clohisy

Nepple

Larson

et al. 2013

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…The effect of borderline acetabular coverage or dysplasia on the reoperation rate and function scores in treatment for labral tears is controversial [4,8,25,36]. Byrd and Jones [4] reported labral débridement in hips with borderline acetabular coverage resulted in improvement in the mHHS.…”

Section: Discussionmentioning

confidence: 99%

“…Parvizi et al [25] reported a high reoperation rate in dysplastic hips with labral tears. However, Byrd and Jones [4] and Yamamoto et al [36] reported functional improvement and low reoperation rates in dysplastic hips with labral tears. Thus, the effect of borderline acetabular coverage (dysplasia) on reoperation rate after hip arthroscopy is debatable.…”

Section: Introductionmentioning

confidence: 99%

Save the Torn Labrum in Hips With Borderline Acetabular Coverage

Kalore

Jiranek

2012

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Hip arthroscopy for labral tears improves short-term function, but reoperations occur in 5% to 47% of patients. The effect of borderline acetabular coverage on reoperation rate has been debated. Labral repair rather than débridement has been proposed to improve function, but the effect on reoperation rate is unclear. Questions/Purposes We determined whether (1) borderline compared to adequate acetabular coverage increased reoperations and (2) labral repair compared to débridement reduced reoperations. Methods We retrospectively reviewed 106 patients (mean age, 39 years) who underwent hip arthroscopy for labral tears. Based on radiographs, we classified patients into those with borderline (n = 50) or adequate (n = 56) acetabular coverage. We further divided each group into those with labral débridement or repair: borderline acetabular coverage, n = 25 and 25, respectively; adequate acetabular coverage, n = 39 and 17, respectively. We assessed reoperations in borderline versus adequate acetabular coverage and labral débridement versus repair, modified Harris hip scores (mHHSs), and survival. Minimum followup was 12 months (mean, 33 months; range, 12-65 months). Results Twenty-three of 106 patients had reoperations. Reoperation rate was higher with borderline than with adequate acetabular coverage. Reoperation rate was lower with labral repair than with débridement. Survival to reoperation was similar in the four subgroups although there was a tendency for early reoperation in patients with borderline acetabular coverage with débridement.

show abstract

Impairment Tutorial: Rating Tears of the Acetabular Labrum

Brooks¹,

Strain²,

Talmage³

2006

AMA Guides® Newsletter

View full text Add to dashboard Cite

The primary function of the acetabular labrum, like that of the glenoid, is to deepen the socket and improve joint stability. Tears of the acetabular labrum are common in older adults but occur in all age groups and with equal frequency in males and females. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, is silent about rating tears, partial or complete excision, or repair of the acetabular labrum. Provocative tests to detect acetabular labrum tears involve hip flexion and rotation; all rely on production of pain in the groin (typically), clicking, and/or locking with passive or active hip motions. Diagnostic tests or procedures rely on x-rays, conventional arthrography, computerized tomography, magnetic resonance imaging (MRI), magnetic resonance arthrography (MRA), and hip arthroscopy. Hip arthroscopy is the gold standard for diagnosis but is the most invasive and most likely to result in complications, and MRA is about three times more sensitive and accurate in detecting acetabular labral tears than MRI alone. Surgical treatment for acetabular labrum tears usually consists of arthroscopic debridement; results tend to be better in younger patients. In general, an acetabular labral tear, partial labrectomy, or labral repair warrants a rating of 2% lower extremity impairment. Evaluators should avoid double dipping (eg, using both a Diagnosis-related estimates and limited range-of-motion tests).

show abstract

Arthroscopic Partial Limbectomy in Hip Joints With Acetabular Hypoplasia

Cited by 42 publications

References 7 publications

Persistent Structural Disease Is the Most Common Cause of Repeat Hip Preservation Surgery

Persistent Structural Disease Is the Most Common Cause of Repeat Hip Preservation Surgery

Save the Torn Labrum in Hips With Borderline Acetabular Coverage

Impairment Tutorial: Rating Tears of the Acetabular Labrum

Contact Info

Product

Resources

About