Remaining Loose Bodies after Arthroscopic Surgery Including Extensive Capsulectomy for Synovial Chondromatosis of the Hip.
10.4055/cios.2018.10.4.393
- Author:
Young Kyun LEE
1
;
Kyung Ho MOON
;
Jin Woo KIM
;
Ji Sup HWANG
;
Yong Chan HA
;
Kyung Hoi KOO
Author Information
1. Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
- Publication Type:Original Article
- Keywords:
Arthroscopy;
Hip;
Loose body;
Synovial chondromatosis
- MeSH:
Arthroscopy*;
California;
Chondromatosis, Synovial*;
Female;
Follow-Up Studies;
Hip*;
Humans;
Male;
Ontario;
Osteoarthritis
- From:Clinics in Orthopedic Surgery
2018;10(4):393-397
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: The purpose of our study was to evaluate the usefulness of hip arthroscopy including extensive capsulectomy for synovial chondromatosis of the hip. METHODS: From 2008 to 2016, 13 patients with synovial chondromatosis of the hip were treated with arthroscopic removal of loose bodies and synovectomy using three arthroscopic portals. An extensive capsulectomy was performed to allow the remaining loose bodies to be out of the extracapsular space, and the excised capsule was not repaired. All patients were assessed by clinical scores and the radiographs were reviewed to determine whether the remaining loose bodies disappeared at the last follow-up. RESULTS: Eight men and two women were followed up for a minimum of 1 year (mean, 3.8 years; range, 1 to 6.8 years) after hip arthroscopy. Clinical outcomes such as modified Harris hip score, University of California Los Angeles score, and Western Ontario and McMaster Universities Osteoarthritis Index score improved at the last follow-up. Although seven hips had remaining loose bodies after arthroscopic surgery, the remaining loose bodies disappeared in five hips (71.4%) at the last follow-up. CONCLUSIONS: Arthroscopic surgery was useful to treat synovial chondromatosis of the hip. In spite of limited removal of loose bodies, arthroscopic procedures including extensive capsulectomy could be effective for the treatment of synovial chondromatosis of the hip.
