López Reyes Alberto^1,2, Payo Ollero Jesús¹, Santiago Olmedo Marco Antonio^1,3, Serrano Toledano David¹, Del Río Arteaga Marta and Ribera Zabalbeascoa Juan¹*

¹Department of Head Hip Unit, Centro Cot. Hospital Viamed Santa Angela, Sevilla, Spain
²Barros Luco Trudeau Hospital, Adult Orthopaedics and Traumatology Service, School of Medicine, University of Chile, San Miguel, Santiago, Chile
³San Pablo Hospital, Coquimbo, IV Region of Chile

*Corresponding Author: Ribera Zabalbeascoa Juan, Department of Head Hip Unit, Centro Cot. Hospital Viamed Santa Angela, Sevilla, Spain.

Received: May 29, 2024; Published: June 19, 2024

Abstract

Introduction: Arthroscopic Hip Surgery (AHS) has shown exponential growth in the treatment of injuries that affect the coxofemoral joint.

Materials and Methods: Observational, descriptive and retrospective study. The medical records of patients who underwent AHS during the period January 2008 to May 2013 were reviewed. The surgical technique, intraoperative findings, surgical time, complications, and surgical reinterventions were recorded. An assessment of pre and post operative scales was carried out.

Results: Fifty-eight patients met all the requirements, with a mean age of 39.3 years and a BMI of 24.33 kg/m2, 56.9% being men (33 patients) and 43.10% women (25 patients). The right hip was operated on in 34 cases (58.62%). 84.5% of diagnoses were FAI (femoroacetabular impingement). In 89.65% of cases the minimum duration of symptoms was present for at least 6 months and in 48.27%, for at least 1 year. Regarding the satisfaction of our patients after follow-up of at least 10 years, 51.73% were highly satisfied, 6,9% very satisfied, 37.92% satisfied and 3.45% dissatisfied. The survival of AHS in the FAI subgroup at 10 years was 93.88% (95% CI: 82.21-97.98), establishing conversion to THR (total hip replacement) as the end point.

Conclusion: AHS is an effective and safe therapeutic tool for our patients.

 Keywords: Hip Arthroscopy; Surgical Indications; Femoroacetabular Impingement; Survival

References

1. Burman M. “Arthoscopy or the direct visualization of joints: an experimental cadaver study”. The Journal of Bone and Joint Surgery. American Volume 29 (1931): 669-695.
2. Rath E., et al. “Hip arthroscopy: an emerging technique and indications”. The Israel Medical Association Journal (2012): 170-174.
3. Novoa-Parra CD., et al. “Past and projected temporal trends in arthroscopic hip surgery in Spain between 1998 and 2018”. Revista Española de Cirugía Ortopédica y Traumatología (2022).
4. Ganz R., et al. “Femoroacetabular impingement: a cause for osteoarthritis of the hip”. Clinical Orthopaedics and Related Research 466 (2003): 264-272.
5. Mella C., et al. “Complications in hip arthroscopy. Failed hip arthroscopy and revision arthroscopy”. Spanish Journal of Arthroscopy and Joint Surgery 23.2 (2016): 103-111.
6. Griffin DR., et al. “The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement”. British Journal of Sports Medicine 50 (2016): 1169-1176.
7. Mascarenhas VV., et al. “Imaging Methodology for Hip Preservation: Techniques, Parameters, and Thresholds”. Seminars in Musculoskeletal Radiology 23 (2019): 197-226.
8. Ilizaliturri VM., et al. “A Geographic Zone Method to Describe Intra-articular Pathology in Hip Arthroscopy: Cadaveric Study and Preliminary Report”. Arthroscopy 24 (2008): 534-539.
9. Lara-Taranchenko Y., et al. “Cross-cultural adaptation for the Spanish population of the modified Harris scale for the functional and symptomatic assessment of the hip joint”. Revista Española de Cirugía Ortopédica y Traumatología 66 (2022): 128-134.
10. Martin RL and Philippon MJ. “Evidence of validity for the hip outcome score in hip arthroscopy”. Arthroscopy 23 (2007): 822-826.
11. Griffin DR., et al. “A short version of the International Hip Outcome Tool (iHOT-12) for use in routine clinical practice”. Arthroscopy 28 (2012): 611-616.
12. Tegner Y and Lysholm J. “Rating systems in the evaluation of knee ligament injuries”. Clinical Orthopaedics and Related Research 198 (1985): 43-49.
13. Weber A., et al. “Complications in hip arthoscopy: A systematic review and strategies for prevention”. Sports Medicine and Arthroscopy Review 23 (2015): 187-193.
14. Excellence NIoHaC. “Arthroscopic femoro-acetabular surgery for hip impingement syndrome”. NICE Guideline (IPG408) (2011).
15. Griffin DR., et al. “Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial”. Lancet 391 (2018): 2225-2235.
16. Dumont GD., et al. “The Learning Curve in Hip Arthroscopy: Effect on Surgical Times in a Single Surgeon Cohort, Arthroscopy”. The Journal of Arthroscopic and Related Surgery (2020).
17. Mehta N., et al. “Defining the Learning Curve for Hip Arthroscopy: A Threshold Analysis of the Volume-Outcomes Relationship”. The American Journal of Sports Medicine 46.6 (2018): 1284-1293.
18. Badylak JS and Keene JS. “Do iatrogenic punctures of the labrum affect the clinical results of hip arthroscopy?” Arthroscopy 27 (2011): 761-767.
19. Harris JD., et al. “Complications and reoperations during and after hip arthroscopy: A systematic review of 92 studies and more than 6,000 patients”. Arthroscopy 29 (2013): 589-595.
20. Torres-Perez D., et al. “Functional outcomes and 8-year survival of hip arthroscopy in patients with degenerative hip pathology”. Revista Española de Cirugía Ortopédica y Traumatología 64.5 (2020): 291-300.
21. Marín-Peña O., et al. “AEA-LATAM consensus on hip arthroscopy in dysplasia and degenerative pathology”. Revista Española de Cirugía Ortopédica y Traumatología 26.1 (2019): 53-63.
22. Degen Ryan., et al. “Risk of failure of primary hip arthroscopy-a population-based study”. Journal of Hip Preservation Surgery 40.3 (2017): 214-223.
23. J Martínez., et al. “Hip arthroscopy as a treatment for femoroacetabular impingement with a minimum follow-up of 10 years”. Spanish Journal of Orthopedic Surgery and Traumatology (2023).

Citation

Citation: Ribera Zabalbeascoa Juan., et al. “Ten years of Minimum Follow-Up After Hip Arthroscopy. Personal Series and Results".Acta Scientific Orthopaedics 7.7 (2024): 40-45.

Copyright

Copyright: © 2024 Ribera Zabalbeascoa Juan., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.