Hip Arthroplasty or Medical Management: A Challenging Treatment Decision for Younger Patients

Stake, Christine E.; Talbert, Patricia Y.; Hopkinson, William; Daley, Robert J.; Alden, Kris J.; Domb, Benjamin G.

doi:10.1016/j.arth.2015.01.032

Cited by 6 publications

(6 citation statements)

References 24 publications

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“…[28][29][30][31][32][33][34][35] The current study presents the mid-term follow up on our previously published short-term study of a similar patient cohort. 36 In a retrospective review of patients who underwent hip arthroscopy, McCarthy et al 37 reported on 111 hips with a mean age of 39 (613) with minimum 10-year follow-up. Their results showed that patients elder than 40 years had a 3.6 times higher odds ratio for Although the literature indicates favorable outcomes for hip arthroscopy in this age group, patient selection is still important.…”

Section: Discussionmentioning

confidence: 99%

Hip Arthroscopy for Femoroacetabular Impingement and Labral Tears in Patients Younger than 50 Years: Minimum Five-year Outcomes, Survivorship, and Risk Factors for Reoperations

Perets

Chaharbakhshi

Shapira

et al. 2019

J Am Acad Orthop Surg

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Introduction: There is a paucity of literature on mid-term outcomes for hip arthroscopy for femoroacetabular impingement and labral tears. Methods: Inclusion criteria were age at surgery ,50 years and documented preoperative patient-reported outcomes. Patients with a Tönnis grade .0 or previous ipsilateral hip conditions were excluded. Results: Of 407 eligible cases, 327 hips (295 patients) had minimum 5-year follow-up. Mean age was 32.4 years. All mean patient-reported outcomes and visual analog scale improved at follow-up (P , 0.001). Mean satisfaction was 7.9. Thirty-eight hips (11.6%) required secondary arthroscopy at a mean of 25.1 months. Survivorship at minimum 5 years was 92.4%. The complication rate was 7.0%. Conclusions: Hip arthroscopy for management of femoroacetabular impingement and labral tears in patients aged ,50 demonstrates favorable and safe mid-term outcomes. Several risk factors for conversion to total hip arthroplasty in this age group warrant cautious patient selection for arthroscopy.

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Section: Discussionmentioning

confidence: 99%

Hip Arthroscopy for Femoroacetabular Impingement and Labral Tears in Patients Younger than 50 Years: Minimum Five-year Outcomes, Survivorship, and Risk Factors for Reoperations

Perets

Chaharbakhshi

Shapira

et al. 2019

J Am Acad Orthop Surg

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“…y Findings from several case series support the use of hip arthroscopy in older patients with preserved joint space. 1,10,19,22 In patients undergoing hip arthroscopy for FAI, Philippon et al 18 found encouraging survivorship results in a cohort older than 50 years who had joint space greater than 2 mm. Ben Tov et al 1 evaluated 20 patients who underwent labral repair with a mean age of 58 years and found a significant improvement in PROMs at shortterm follow-up.…”

Section: -In-5mentioning

confidence: 99%

Are Short-term Outcomes of Hip Arthroscopy in Patients 55 Years and Older Inferior to Those in Younger Patients?

et al. 2016

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“…Average age at the time of hip preservation surgery was 15.3. Orthopedic diagnoses included femoroacetabular impingement (FAI, 20), acetabular dysplasia (23), Legg-Calve-Perthes disease (13), slipped capital femoral epiphysis (8), and other hip conditions (3). Patients completed patient-reported measures preoperatively and approximately 12 months postoperatively.…”

Section: Resultsmentioning

confidence: 99%

Are We Involving Patients in Shared Decision-Making in Young Adult Hip Surgery? A Systematic Review of Patient Engagement Initiatives in Hip Preservation

Alokozai

Bernstein

Samuel

et al. 2020

Journal of Patient Experience

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There are limited published studies on patient engagement, including shared decision-making, in adolescents and young adults with complex congenital or post-traumatic hip disorders. Despite the limited number of papers, we aim to clearly summarize what is currently available in the literature using a systematic review approach. We hope this serves as a call to action and catalyst for more work in this field. Future research must focus on awareness of what matters most to patients (values), and the development, implementation, and barriers to the use of decision aids and patient engagement optimization specific to hip disease in young adults.

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Hip Arthroplasty or Medical Management: A Challenging Treatment Decision for Younger Patients

Cited by 6 publications

References 24 publications

Hip Arthroscopy for Femoroacetabular Impingement and Labral Tears in Patients Younger than 50 Years: Minimum Five-year Outcomes, Survivorship, and Risk Factors for Reoperations

Hip Arthroscopy for Femoroacetabular Impingement and Labral Tears in Patients Younger than 50 Years: Minimum Five-year Outcomes, Survivorship, and Risk Factors for Reoperations

Are Short-term Outcomes of Hip Arthroscopy in Patients 55 Years and Older Inferior to Those in Younger Patients?

Are We Involving Patients in Shared Decision-Making in Young Adult Hip Surgery? A Systematic Review of Patient Engagement Initiatives in Hip Preservation

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