Hip Arthroscopy Surgical Volume Trends and 30-Day Postoperative Complications

Cvetanovich, Gregory L.; Chalmers, Peter N.; Levy, David M.; Mather, Richard C.; Harris, Joshua D.; Bush‐Joseph, Charles A.; Nho, Shane J.

doi:10.1016/j.arthro.2016.01.042

Cited by 126 publications

(101 citation statements)

References 37 publications

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“…However, hip arthroscopy has inherent limitations, including restricted access to the acetabulum and posterior aspects of the hip, the need to incorporate a difficult technique with a long learning curve, and risk of under-or overcorrection of FAI pathomorphology. Nevertheless, hip arthroscopy for the treatment of FAI is increasingly used [ 11 ] and has become the primary treatment option in many centers performing hippreserving surgery. With adequate training, arthroscopic osseous correction [ 3,6,16 ] as well as treatment of labral and chondral damages [ 34,37 ] in standard FAI affecting the anterior aspect of the joint can now be performed comparably to open surgery [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

What Are the Risk Factors for Revision Surgery After Hip Arthroscopy for Femoroacetabular Impingement at 7-year Followup?

Haefeli

Albers

Steppacher

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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Section: Introductionmentioning

confidence: 99%

What Are the Risk Factors for Revision Surgery After Hip Arthroscopy for Femoroacetabular Impingement at 7-year Followup?

Haefeli

Albers

Steppacher

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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“…Though the studies included in this review did not report on the need for transfusion, a recent study by Cvetanovich and colleagues 10 used a national database and found that, of patients undergoing hip arthroscopy (n = 1338), 0.4% (n = 5) had bleeding requiring a transfusion, with 0.3% (n = 4) requiring return to the operating room, similar to an earlier study by Clarke and colleagues, 31 who noted bleeding from the portal site in 0.4% of hip arthroscopy patients. In terms of risk factors, Cvetanovich and colleagues 10 found that ASA class, older age, and prior cardiac surgery were significantly associated with minor and overall complications, whereas both regional anesthesia/monitored anesthesia care and alcohol consumption of >2 drinks a day were significantly associated with minor complications, including bleeding requiring transfusions. They noted, however, that these risk factors accounted for only 5% of the variance in complication rates, indicating that other unidentified variables better explained the variance in complication rates.…”

Section: Discussionmentioning

confidence: 99%

“…18 from 1999 to 2009 9 and 25 from 2006 to 2013. 10 Though hip arthroscopy is beneficial in many cases, marked postoperative pain has presented a substantial challenge, with patients requiring considerable doses of opiatebased medications in the post-anesthesia care unit (PACU). 11,12 Increased narcotic use carries increased side effects, including postoperative nausea and vomiting, 13 and poorly managed pain leads to increased unplanned admissions.…”

mentioning

confidence: 99%

Outcomes After Peripheral Nerve Block in Hip Arthroscopy

Steinhaus¹,

Rosneck²,

Ahmad³

et al. 2018

Am J Orthop

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Pain control following hip arthroscopy presents a significant clinical challenge, with postoperative pain requiring considerable opioid use. Peripheral nerve blocks (PNBs) have emerged as one option to improve pain and limit the consequences of opioid use. The purpose of this study is to provide a comprehensive review of outcomes associated with PNB in hip arthroscopy. We hypothesize that the use of PNB in hip arthroscopy leads to improved outcomes and is associated with few complications. A systematic review of PubMed, Medline, Scopus, and Embase databases was conducted through January 2015 for English-language articles reporting outcome data, with 2 reviewers independently reviewing studies for inclusion. When available, similar outcomes were combined to generate frequency-weighted means. Six studies met the inclusion criteria for this review, reporting on 710 patients undergoing hip arthroscopy. The mean ages were 37.0 and 37.7 years for the PNB and comparator groups, respectively, with a reported total of 281 (40.5%) male and 412 (59.5%) female patients. Postoperative post-anesthesia care unit (PACU) pain was consistently reduced in the PNB group, with the use of a lower morphine equivalent dose and lower rates of inpatient admission, compared with that in the control groups. Postoperative nausea and/or vomiting as well as PACU discharge time showed mixed results. High satisfaction and few complications were reported. In conclusion, PNB is associated with reductions in postoperative pain, analgesic use, and the rate of inpatient admissions, though similar rates of nausea/vomiting and time to discharge were reported. Current PNB techniques are varied, and future research efforts should focus on examining which of these methods provides the optimal risk-benefit profile in hip arthroscopy.

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“…Surgical intervention for FAIS continues to escalate, with a 25-fold increase from 2006 to 2013,7 and further rises are anticipated 8. Additionally, research that includes surgical intervention for FAIS has drastically increased over the past several years; analysing the variability of data within the literature can help determine appropriate surgical intervention criteria for future research.…”

Section: Introductionmentioning

confidence: 99%

Surgical criteria for femoroacetabular impingement syndrome: a scoping review

et al. 2017

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BackgroundThe purpose of this review was to analyse and report criteria used for open and arthroscopic surgical treatment of femoroacetabular impingement syndrome (FAIS).MethodsA librarian-assisted computer search of Medline, CINAHL and Embase for studies related to criterion for FAIS surgery was used in this study. Inclusion criteria included studies with the primary purpose of surgery or surgical outcomes for treatment of FAIS with and without labral tear, and reporting criteria for FAIS surgery.ResultsDiagnostic imaging was a criterion for surgery in 92% of the included studies, with alpha angle the most frequently reported (68% of studies) criterion. Reporting of symptoms was a criterion for surgery in 75%, and special tests a criterion in 70% of studies. Range-of-motion limitations were only a required criterion in 30%, only 12% of studies required intra-articular injection and 44% of studies described previously failed treatment (non-surgical or physiotherapist-led rehabilitation) as a criterion for surgery. Only 56% of included studies utilised the combination of symptoms, clinical signs and diagnostic imaging combined for diagnosis of FAIS as suggested by the Warwick Agreement on FAIS meeting.ConclusionDiagnostic imaging evidence of FAIS was the most commonly reported criterion for surgery. Only 56% of included studies utilised the combination of symptoms, clinical signs and diagnostic imaging for diagnosis of FAIS as suggested by the Warwick Agreement on FAIS meeting, and only 44% of studies had failed non-surgical treatment (and 18% a failed trial of physiotherapy) as a criterion for surgery.

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Hip Arthroscopy Surgical Volume Trends and 30-Day Postoperative Complications

Cited by 126 publications

References 37 publications

What Are the Risk Factors for Revision Surgery After Hip Arthroscopy for Femoroacetabular Impingement at 7-year Followup?

What Are the Risk Factors for Revision Surgery After Hip Arthroscopy for Femoroacetabular Impingement at 7-year Followup?

Outcomes After Peripheral Nerve Block in Hip Arthroscopy

Surgical criteria for femoroacetabular impingement syndrome: a scoping review

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