Recovery of Limitation of Motion in Secondary Osteoarthritis of the Hip Using Arthroscopy.
- Author:
Eui Chang KIM
1
;
Deuk Soo HWANG
;
Chan KANG
;
Yoo Sun JEON
;
Gi Soo LEE
Author Information
- Publication Type:Original Article
- Keywords: Secondary degenerative osteoarthritis; Limitation of motion of hip; Arthroscopy
- MeSH: Arthroscopy; Congenital Abnormalities; Femoracetabular Impingement; Follow-Up Studies; Hip; Humans; Osteoarthritis; Range of Motion, Articular; Retrospective Studies; Synovitis
- From:Hip & Pelvis 2013;25(2):121-126
- CountryRepublic of Korea
- Language:Korean
- Abstract: PURPOSE: To analyze the arthroscopic findings and treatment results of patients with a limitation of hip motion caused by early degenerative osteoarthritis. MATERIALS AND METHODS: Retrospective analysis was performed on 13 patients who underwent arthroscopic treatment from May 2009 to March 2010, among patients with a limitation of hip motion and femoroacetabular impingement symptoms by early degenerative osteoarthritis. Head-neck offset, anteversion, and a change in the alpha angle was compared. At the final follow up, the VAS (Visual analogue scale), modified Harris hip score, and range of motion were compared. RESULTS: The arthroscopic findings showed diffused synovitis in all 13 cases. Among them, 9 cases were accompanied with a labral tear, and 2 cases showed a labral deformity. The VAS decreased from 7.5 preoperatively to 1.8 postoperatively and the modified Harris hip score improved from 49.3(35-60) before surgery to 90.1(85-95) after surgery. Each flexion and internal rotation improved significantly (P<0.05) from 95.2degrees (60-120degrees) to 127.7degrees (110-140degrees) and 4.6degrees (-5-25degrees) to 25.4degrees (15-30degrees), respectively. CONCLUSION: This study shows that the arthroscopic treatment of femoroacetabular impingement with a limitation of the range of motion by early degenerative arthritis can be expected with an improvement in flexion and internal rotation of the hip.
