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

Haefeli, Pascal C; Albers, Christoph E.; Steppacher, Simon D.; Tannast, Moritz; Büchler, Lorenz

doi:10.1007/s11999-016-5115-6

Cited by 72 publications

(70 citation statements)

References 51 publications

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“…As noted previously, conversion to THA following arthroscopy has been reported between 4 and 25%, with patients who are older with higher rates (18.1% over 40, 23% over 50, and 25.2% for patients over 60 years old) [24–26]. This is significantly different when compared with our study group who averaged 49 years of age at the time of surgery, however, had a 67% conversion to THA.…”

Section: Discussioncontrasting

confidence: 50%

“…One of the most common indications for hip arthroscopy is a labral tear with femoroacetabular impingement. Previous studies have noted a conversion to THA following hip arthroscopy between 4 and 25% [19, 24, 25]. Risk factors for failure of hip arthroscopy include obesity, decreased joint space (<2 mm), significant chondromalacia, Tönnis Grade 2 osteoarthritis and remaining unaddressed FAI [24, 26].…”

Section: Introductionmentioning

confidence: 99%

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Hip arthroscopy following contralateral total hip arthroplasty: a multicenter matched-pair study

Patel¹,

Domb

Krych³

et al. 2018

Journal of Hip Preservation Surgery

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The purpose of this study was to determine if patients undergoing hip arthroscopy for labral pathology with contralateral total hip arthroplasty (THA) have a difference in revision surgeries or patient-reported outcomes (PROs) when compared with those patients undergoing hip arthroscopy for labral pathology with a native contralateral hip. A retrospective review was performed for patients that were undergoing hip arthroscopy between 2008 and 2015. Patients were included in the study group if they met the following inclusion criteria: Tönnis Grade 0 or 1, hip labral pathology, previous contralateral THA, and greater than 2-year follow-up with completion of all PROs or conversion to a THA. Exclusion criteria included the previous surgical history on ipsilateral hip, peritrochanteric or deep gluteal space arthroscopy performed concomitantly, or dysplasia [Lateral Center Edge Angle (LCEA) < 20°]. A 3:1 matched-pair study was conducted. Multiple PRO scores were recorded for both groups. There was no statistically significant difference in the modified Harris hip score, non-arthritic hip score, hip outcome score-sports specific sub-scale, visual analog pain score and patient satisfaction scores between both groups. However, the study group was noted to have six patients converted to THA (67%) at an average of 30 months post-operatively, compared with only four patients (15%) in the control group (P = 0.006). Hip arthroscopy cannot be currently recommended in patients who have undergone contralateral THA due to the high conversion to THA (67%).

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Section: Discussioncontrasting

confidence: 50%

Section: Introductionmentioning

confidence: 99%

Hip arthroscopy following contralateral total hip arthroplasty: a multicenter matched-pair study

Patel¹,

Domb

Krych³

et al. 2018

Journal of Hip Preservation Surgery

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“…Weightbearing restrictions arise from the possibility of impaired labral healing or suture anchor failure, which may result in the need for revision surgery. Haefeli et al 12 reviewed risk factors for revision surgery in the treatment of FAI, and found that although undercorrection of bony pathologies (femoral and acetabular) may lead to revisions, the type of labral surgical management (repair vs debridement) had no effect. The literature indicates that hampered labral healing or suture failure are more likely caused by bony dysmorphism than by weight-bearing status.…”

Section: Discussionmentioning

confidence: 99%

“…The literature indicates that hampered labral healing or suture failure are more likely caused by bony dysmorphism than by weight-bearing status. [4][5][6]12 Borderline dysplasia can also lead to early suture failure. The findings of a broken Shenton line, a femoral neck shaft angle > 140 , a lateral central edge angle < 19 , or a body mass index > 23 kg/m 2 may also be contributing factors.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Weightbearing Protocols After Arthroscopic Surgery for Femoroacetabular Impingement Does Not Affect Patient Outcome: A Comparative Study With Minimum 2-Year Follow-up

Avnieli

Vidra

Factor

et al. 2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…This includes refixation of a torn labrum or labral reconstruction in case of irreparable tears, to restore the sealing function and its stabilizing role that is essential for an even intra-articular stress distribution. [50][51][52] Thus an accurate preoperative assessment of the labrum is warranted. Although the role of cartilage repair procedures is yet to be defined, preoperative MR imaging should enable accurate visualization of direct or indirect signs of cartilage damage.…”

Section: Mr Arthrography Of the Hip Joint Indicationsmentioning

confidence: 99%

Conventional and Arthrographic Magnetic Resonance Techniques for Hip Evaluation: What the Radiologist Should Know

Schmaranzer

Cerezal

Llopis

2019

Semin Musculoskelet Radiol

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Over the last 2 decades, the definition of pathomechanical concepts that link osseous deformities to chondrolabral damage and expose young and active patients to the risk of early osteoarthritis has led to a tremendous increase in the number of joint-preserving surgeries performed. The rise in arthroscopic procedures has led to an increasing demand for comprehensive preoperative magnetic resonance imaging (MRI) assessment of the hip joint. This includes conventional MRI for the assessment of extra-articular and periarticular pathologies such as greater trochanteric pain, deep gluteal pain syndrome, and sports injuries. Magnetic resonance arthrography with or without traction is reserved for the accurate evaluation of deformities associated with impingement and hip instability and for detecting the resulting intra-articular lesions. This article summarizes the current standard imaging techniques that the radiologist should know. It also explores the potential of computer-assisted analysis of three-dimensional MRI for virtual impingement simulation and volumetric analysis of cartilage composition and geometry.

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

Abstract: Background

Cited by 72 publications

References 51 publications

Hip arthroscopy following contralateral total hip arthroplasty: a multicenter matched-pair study

Hip arthroscopy following contralateral total hip arthroplasty: a multicenter matched-pair study

Postoperative Weightbearing Protocols After Arthroscopic Surgery for Femoroacetabular Impingement Does Not Affect Patient Outcome: A Comparative Study With Minimum 2-Year Follow-up

Conventional and Arthrographic Magnetic Resonance Techniques for Hip Evaluation: What the Radiologist Should Know

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