Reasons for and functional results of repeated hip arthroscopy
10.3969/j.issn.1007-1989.2018.01.013
- VernacularTitle:再次髋关节镜手术的病因和术后髋关节功能性分析
- Author:
Feng WANG
1
Author Information
1. 贵州省毕节市第三人民医院 骨三科
- Keywords:
hip;
arthroscopy;
femoroacetabular impingement;
functional outcome
- From:
China Journal of Endoscopy
2018;24(1):66-69
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the functional results and patient satisfaction following repeated arthroscopy and the relevant indications. Methods A single-center continuous prospective study without control group included patients underwent repeated hip arthroscopy between January 2011 and December 2014, with a mean (23.3 ± 2.4) months follow-up. Preoperative and follow-up functional assessment used the modified Harris hip, WOMAC and Christensen (NaHS) questionnaires, and a satisfaction scale. On etiological analysis, repeated arthroscopy was indicated if a cause of recurrent or persistent pain accessible to arthroscopic treatment was identified. Results Seventeen patients were included out of 295 primary arthroscopies (5.8％): 9 males, 8 females;Median age (29.6 ± 6.8). Indications for primary arthroscopy comprised 13 cases of femoroacetabular impingement (including 1case of T?nnis II type osteoarthritis ), 3 labrum lesions with instability and 1 chondromatosis. 12 cases of the 17 primary lesions showed persistence, including 9 cases of femoroacetabular impingement. There were 3 failures in 17 repeated arthroscopies. All functional scores improved, with a gain of (21.7 ± 13.2) points (P < 0.05) on WOMAC score and (32.6 ± 10.7) points (P < 0.05) on NaHS score. Ten of the 17 patients were satisfied or very satisfied with the repeated arthroscopy (59.0％). Conclusion Although less good than on primary arthroscopy, functional results on repeated hip arthroscopy were satisfactory in the short term. The main reason for repeated arthroscopy was per-sistence of initial abnormality due to insufficient treatment.
