Title: A Simple Predictor of the Efficacy of Hip Arthroscopy
Abstract:With the recent advancements in hip arthroscopy, the indications for it have expanded and an increasing number of arthroscopic procedures are being performed for various conditions.[1] Success rates o...With the recent advancements in hip arthroscopy, the indications for it have expanded and an increasing number of arthroscopic procedures are being performed for various conditions.[1] Success rates of hip arthroscopy show considerable variation, which is largely dependent on appropriate patient selection.[2] A major reason for failed hip arthroscopy is the presence of concomitant osteoarthritis (OA).[3] Studies have reported that patients with OA who undergo hip arthroscopy are at a higher risk of conversion to total hip arthroplasty (THA) and have poor functional outcomes.[4] [5] In a systematic review of 15 studies involving more than 2,000 patients, it was shown that approximately 80% of the patients who underwent a conversion to THA had signs of OA.[3] Therefore, it is important to assess the presence of OA to identify the patients who will benefit the most from arthroscopy. Choosing the right patient for arthroscopy is harder than it sounds. Most surgeons use plain radiographic images as the screening tool to assess OA. Although several radiographic findings have been shown to correlate with OA, joint space narrowing is the most commonly used feature to diagnose OA. Some studies have reported that patients with joint space width (JSW) less than 2 mm are at an increased risk of failure of arthroscopy, suggesting that this might be a reliable measure to screen patients with OA.[3] [5] [6] But, can we use this as a cutoff to rule out OA? The answer is probably “no” based on the findings of “Joint Space Width and Osteoarthritis in Patients Undergoing Hip Arthroscopy” by Pidgeon et al published in the current issue of Journal of Hip Surgery.Read More
Publication Year: 2017
Publication Date: 2017-06-01
Language: en
Type: article
Indexed In: ['crossref']
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