Does Hip Arthroscopy Affect the Outcomes of a Subsequent Total Hip Arthroplasty?

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• 作者：Bryan D. Haughom ; MD^a ; ; Darren R. Plummer ; MD ; MBA^b ; Michael D. Hellman ; MD^a ; Shane J. Nho ; MD ; MS^a ; Aaron G. Rosenberg ; MD^a ; Craig J. Della Valle ; MD^a
• 关键词：hip arthroscopy ; total hip arthroplasty ; complications ; hip preservationfemoracetabular impingement ; femoracetabular ; impingement
• 刊名：The Journal of Arthroplasty
• 出版年：2016
• 出版时间：July 2016
• 年：2016
• 卷：31
• 期：7
• 页码：1516-1518
• 全文大小：192 K

文摘

Hip arthroscopy utilization is on the rise in the United States. Thus, determining the impact of prior hip arthroscopy on subsequent total hip arthroplasty (THA) is important to understand.

Methods

A retrospective review of a high-volume orthopedic surgery practice’s billing database yielded 42 hip arthroscopies that underwent subsequent THA. An age-, sex-, and body mass index (2:1)–matched cohort of primary THAs was used for comparison.

Results

No difference was observed in the postoperative Harris Hip Score between groups (92.1 ± 10.9 vs 90.1 ± 6.6, P = .20); however, there was greater overall improvement in Harris Hip Score in the control group (40.4 ± 18.4 vs 45.1 ± 8.7, P = .05). There were no differences observed in the complication (P = .5) or revision rates (P = .4).

Conclusion

With the numbers available, prior hip arthroscopy does not appear to have an impact on the functional outcomes of a subsequent THA.