Arthroscopic Treatment of Labral Tears in Patients Aged 60 Years or Older

Redmond, John M.; Gupta, Alka; Cregar, William M.; Hammarstedt, Jon E.; Gui, Chengcheng; Domb, Benjamin G.

doi:10.1016/j.arthro.2015.03.032

Cited by 33 publications

(42 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite recent publications suggesting age does not preclude good to excellent outcomes following hip arthroscopy, our study showed that older age negatively correlated with outcomes [ 30–32 ]. The overall rate was roughly −0.2 PRO points/year, or for every 5 years in age after controlling for all other variables, the PRO would be expected to be 1 point lower.…”

Section: Discussioncontrasting

confidence: 99%

Does duration of symptoms affect clinical outcome after hip arthroscopy for labral tears? Analysis of prospectively collected outcomes with minimum 2-year follow-up

Dierckman

Hohn

et al. 2017

Journal of Hip Preservation Surgery

View full text Add to dashboard Cite

Limited research exists on the possible association between duration of symptoms and clinical outcomes following hip arthroscopy for labral tears. The purpose of this study was to evaluate whether duration of symptoms affected clinical and patient-reported outcome (PRO) scores following hip arthroscopy for labral tears. From 2008 to 2011, data were collected prospectively on all patients undergoing primary hip arthroscopy for labral tears. Workers’ compensation cases, dysplasia cases and patients with previous ipsilateral hip surgeries were excluded. A total of 738 patients were identified with a minimum of 2-year follow-up, and clinical and PRO data were available for 680 patients. Uni- and multivariate analyses were performed to determine the relationship between duration of symptoms along with other variables and PROs. Overall, patients experienced significant improvements in all clinical and PRO scores. Results of univariate analysis revealed that all PROs were negatively associated with increasing Log10 months of symptoms as were pain and satisfaction scores. During multivariate analyses, increasing Log10 months of symptoms, age, body mass index and trauma were all negatively associated with PROs (P < 0.05). Our study demonstrates that clinical and PRO scores were negatively associated with increasing duration of symptoms prior to hip arthroscopy for treatment of labral tears. Although this implies that delay in treatment may adversely affect outcome, conservative treatment remains the gold standard first line of treatment. Surgeons should incorporate this information into their treatment algorithm to maximize patient outcomes following treatment for labral tears. Level of evidence: Level IV, prospective case series.

show abstract

Section: Discussioncontrasting

confidence: 99%

Does duration of symptoms affect clinical outcome after hip arthroscopy for labral tears? Analysis of prospectively collected outcomes with minimum 2-year follow-up

Dierckman

Hohn

et al. 2017

Journal of Hip Preservation Surgery

View full text Add to dashboard Cite

show abstract

“…Individuals older than 42 years presented an elevated risk of revisit after hip arthroscopy. Although a small series of patients over 50 years old demonstrated remarkable improvements after hip arthroscopy for femoroacetabular impingement [19,39], other studies in alignment with our results associated increased age with an elevated risk of hospital revisits across a range of hospital procedures and diagnoses [18,19,[40][41][42][43][44]. One previous study specifically reported that after discharge, the 14-day revisit rate among elderly patients was 29%, which is in contrast with a 15% rate among younger individuals [43].…”

Section: Floridasupporting

confidence: 68%

Hip Arthroscopy: Spatiotemporal Analysis in Three US States and Predictor of Revisit after a Procedure

Pedrinelli¹,

Hernandez²,

Ejnisman³

et al. 2018

Orthop Muscular Syst

View full text Add to dashboard Cite

Objective: The incidence of hip arthroscopy procedures has recently increased, current trends demonstrating a wide geographical variation and relatively similar functional outcomes among a wide age range. We aimed to evaluate spatio-temporal trends in state variation of hip arthroscopy procedures as well as the rate and determinants of 90-day hospital revisits. Methods: This was a secondary spatiotemporal analysis of data on hip arthroscopy procedures from the Healthcare Cost and Utilization Project databases, including the State Inpatient Database (SID), the State Ambulatory Surgery Database and the State Emergency Department Database (SEDD) for Florida, Kentucky, and Maryland, spanning a total of six years (2009-2014). Revisit risk was only evaluated through Florida data. Results: Out of 4,085 patients, the mean age was 40.7 years, 60.5% were female, 81.4% white, 77.7% had private insurance, and 96.5% were located in metropolitan areas. The average Charlson co-morbidity score was 0.11 (± 0.39), the Van Walraven score was 0.17 (± 1.51). Revisit rates progressively decreased during the study period, from 13.3% in 2009 to 6.2% in 2014 (p for trend < 0.001). Age >42 [OR: 2.13 (1.7, 2.69)] and a Charlson comorbidity score >0 [OR: 2.35 (1.73, 3.16)] were risk factors for a revisit. Paying mechanisms other than Medicare were protective. Most revisits (93.19%) occurred in the first 25 days after the procedure and the 90-day revisit rates for the State of Florida were centered on the major metropolitan areas such as West Palm Beach, Sarasota, Tampa, and Orlando. The incidence of hip arthroscopies increased in most parts of Florida, Kentucky, and Maryland over the study period. Conclusion: Revisit rates may reflect the quality of care and highlight the need for improvement. Future registries should include patient factors like pre-operative function and social determinants of health that might influence outcomes and revisit rates.

show abstract

“…Reports involving hip arthroscopy for the elderly have been published in recent years (Table 6) [1, 3, 14, 15]. Overall, although the clinical outcomes generally improved, they contained cases in which conversion to THA occurred at a constant rate.…”

Section: Discussionmentioning

confidence: 99%

“…As factors of OA progressed after arthroscopic surgery, Philippon et al reported there was a significant difference in joint salvage rate when the preoperative joint space was less than or greater than 2 mm [3]. Redmond et al reported a particular feature in cases that were converted to THA involving a lack of strong preoperative hip pain or dysplastic acetabular formation and intraoperative damage of articular cartilage [14]. In our study, all cases of grade III or more in Outerbridge classification exhibited OA progression after surgery as in the previous reports.…”

Section: Discussionmentioning

confidence: 99%

Clinical results of arthroscopic surgery in patients over 50 years of age—what viability does it have as a joint preservative surgery?

et al. 2017

View full text Add to dashboard Cite

BackgroundTo identify whether hip arthroscopy is a suitable option for treating hip pain in elderly patients and investigate the clinical outcomes of hip arthroscopic surgery for labrum tear and/or osteoarthritis in patients over 50 years of age.MethodsBetween August 2009 and May 2014, a series of 23 patients (6 men and 17 women) with a mean age of 59 years underwent arthroscopy. We retrospectively examined the clinical records, radiographs, and outcome questionnaires from all patients. The mean follow-up period was 28 months.ResultsThe mean Japan Orthopedic Association hip score after surgery improved by a statistically significant amount. Eight patients (34.8%) were noted to have a progression of osteoarthritis (OA) diagnosed by radiograph, and one underwent THA after 13 months following arthroscopic surgery. The patients in which OA progression was noted were identified as having radiographical OA preoperatively and acetabular cartilage damage in the arthroscopic findings.ConclusionsArthroscopic surgery performed in selected patients over 50 years of age might be beneficial if classified as Tönnis grade 0 preoperatively and/or classified as Outerbridge grade II in the arthroscopic findings.

show abstract

Arthroscopic Treatment of Labral Tears in Patients Aged 60 Years or Older

Cited by 33 publications

References 25 publications

Does duration of symptoms affect clinical outcome after hip arthroscopy for labral tears? Analysis of prospectively collected outcomes with minimum 2-year follow-up

Does duration of symptoms affect clinical outcome after hip arthroscopy for labral tears? Analysis of prospectively collected outcomes with minimum 2-year follow-up

Hip Arthroscopy: Spatiotemporal Analysis in Three US States and Predictor of Revisit after a Procedure

Clinical results of arthroscopic surgery in patients over 50 years of age—what viability does it have as a joint preservative surgery?

Contact Info

Product

Resources

About