Arthroscopy for Labral Tear in Patients with Developmental Dysplasia of the Hip: A Cautionary Note

Parvızı, Javad; Bican, Orhan; Bender, Benjamín; Mortazavi, Seyed Mohammad Javad; Purtill, James J.; Erickson, Jill; Peters, Christopher L.

doi:10.1016/j.arth.2008.11.045

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, an overall failure rate of 14.1% in patients with a BDDH who underwent arthroscopic surgery was similar to that in patients with DDH who underwent PAO, 6 and this was remarkably lower than that in patients with frank DDH who underwent arthroscopic surgery and had a failure rate of up to 59%. 2,25,28 These comparisons indicated the reliability of arthroscopic intervention for BDDHs.…”

Section: Discussionmentioning

confidence: 78%

“…40 Developmental dysplasia of the hip (DDH) can lead to multiple conditions, such as labral lesions, chondral damage, 25 and early-onset hip osteoarthritis (OA). 4 Currently, periacetabular osteotomy (PAO) is the gold-standard 8 treatment for those without advanced OA 19,28 ; however, the indications for PAO are still in dispute 2,28 in patients with a borderline developmental dysplastic hip (BDDH) with mild acetabular undercoverage. Because the pathological changes of soft tissue, not the abnormalities of osseous structures, are considered the direct causes of symptoms 16 in BDDHs without OA, hip arthroscopic surgery has been performed and has shown comparable results.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Hip Arthroscopic Surgery in Borderline Developmental Dysplastic Hips: A Systematic Review

et al. 2018

View full text Add to dashboard Cite

Background: It remains controversial whether hip arthroscopic surgery should be applied to patients with a borderline developmental dysplastic hip (BDDH). Purpose: To review the outcomes of hip arthroscopic surgery for a BDDH and which factors influence these outcomes. Study Design: Systematic review. Methods: PubMed, Embase, and the Cochrane Library were searched through March 2018 for studies reporting the outcomes of primary hip arthroscopic surgery in patients with a BDDH. Inclusion in the review was based on the definition of a BDDH, patient-reported outcomes, and duration of follow-up. The primary outcome was the modified Harris Hip Score (mHHS). The failure rate, visual analog scale, satisfaction score, and patient-reported outcomes such as the Hip disability and Osteoarthritis Outcome Score were defined as secondary outcomes. Results: Nine studies with 425 patients who underwent hip arthroscopic surgery were included in this review. The mean follow-up times ranged from 25.4 to 28.8 months across the studies. A significant improvement was obtained in the mHHS, with a mean score of 61.8 preoperatively to 82.8 postoperatively; all other patient-reported outcomes also improved significantly, except the 12-Item Short Form Health Survey mental component summary. The overall failure rate was 14.1%, and the mean reoperation rate was 8.5%. The rate of conversion to total hip arthroplasty ranged from 4.4% to 26.0%, and the rate of conversion to periacetabular osteotomy was 4.0%. Combined defects such as cartilage damage, hip osteoarthritis, ligamentum teres tears, and femoroacetabular impingement could influence the outcomes after arthroscopic surgery in BDDHs. Conclusion: Hip arthroscopic surgery was demonstrated to be a promising approach for BDDHs, but the outcomes could be influenced by multiple risk factors. A higher level of evidence is still needed to support current findings.

show abstract