Vol. 6 (10) pp. 745-754 DOI: 10.21474/IJAR01/7865

HIP ARTHROSCOPY IN MANAGEMENT OF TRAUMATIC AND NON-TRAUMATIC HIP PATHOLOHY.

  • Orthopaedic Surgery Department, Zagazig University Hospitals, Egypt.
7 Downloads 44 Views
Crossref

Abstract

Study Design: prospective non-randomized clinical study. Background Context:Diagnosis and treatment of intra-articular hip problems in young patients present a challenge. Historically, there have been limited diagnostic and treatment options available for diseases that affect the cartilage, bone or synovium in the young hip joint.Labral tears, degenerative disease, articular injures, osteonecrosis, synovial abnormalities, ligamentumteres rupture, femoroacetular impingement, instability and septic hip are some of the conditions that could now be treated by hip arthroscopy. Objective:This study will evaluate the effectiveness of hip arthroscopy in diagnosis and treatment of variable hip pathology such as: Labral tears, degenerative disease, articular injures, osteonecrosis, synovial abnormalities, ligamentumteres rupture, femoroacetular impingement. Patients And Methods: Thirty painful hips undergone hip arthroscopy with minimum 6 months follow up. 28 cases of femoroacetabular impingement (FAI) and two cases of post-traumatic loose body removal.9 cases of femoroacetabular impingement were cam impingement, 7 cases were pincer impingement and 12 cases were mixed impingement. Among our 28 cases of FAI we have found labral pathology in 20 cases, 9 cases of labral pathology managed by labral repair by anchor sutures and rest were managed by debridment. We used modified harris hip score (mHHS) and Non-arthritic hip score (NAHS) to evaluate our results. Results: A significant improvement was detectedin post-operative hip pain in all cases. Post-operative range of motion was improved. Conclusion: Hip arthroscopy is a reliable technique to treat traumatic and non-traumatic hip pathology.

Keywords

Article Analytics

References

  1. Shetty, V. D, andVillar, R. N. (2007): Hip arthroscopy: current concepts and review of literature.British journal of sports medicine;41(2), 64-68.
  2. Byrd, J. T. (2005): Overview and History of Hip Arthroscopy. Operative Hip Arthroscopy, (pp. 1-6). Springer New York.
  3. Michael B, Gerhardt, K.L, Morteza M and Anil S. (2011): Arthroscopic and open anatomy of the hip, Techniques in Hip Arthroscopy and Joint Preservation Surgery; pp. 9-22.
  4. Shu, B., andSafran, M. R. (2011): Hip instability: anatomic and clinical considerations of traumatic and atraumatic instability. Clinics in sports medicine; 30, 349?367.
  5. Byrd JWT. (2005): Portal anatomy in: Byrd J W T, editor. Operative hip arthroscopy.2 nd edition. NewYork:Springer; p.100-110.
  6. Byrd JW and JonesKS (2010): Prospective analysis of hip arthroscopy with 10 yearfollowup. ClinOrthopRelat Res 468:741-746.
  7. Chernchujit B, et al., (2009): Arthroscopic loose body removal after hip fracture dislocation: experience in 7 cases. J Med Assoc Thai.
  8. Philippon MJ, Briggs KK, Yen YM, et al., (2009): Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction: minimum two-year follow-up. J Bone Joint Surg Br; 91:16-23.
  9. Brunner A, Horisberger M and Herzog R.F.(2009): Sports and recreation activity of patients with femoroacetabular impingement before and after arthroscopic osteoplasty. Am J Sports Med 37:917 922.
  10. Byrd JW and Jones K.S. (2009): Arthroscopic femoroplasty in the management of cam-type femoroacetabular impingement. ClinOrthopRelat Res 467:739-746.
  11. Larson CM and Giveans M.R. (2009): arthroscopic debridment versus refixation of acetabular labrum associated with femoroacetabular impingement. Arthroscopy 25(4), 369-376.
  12. Schilders E, Dimitrakopoulou A, Bismil Q, Marchant P and Cooke C (2011):arthroscopic treatment of labral tears in femoroacetabular impingement: a comparative study of refixation and resection with a minimum two-years follow up. J Bone Joint Surg Br 93(8), 1027-1032.
  13. Santori N andVillar RN (2000): Acetabular labral tears: Result of arthroscopic partial limbectomy. Arthroscopy; 16:11-15.
  14. Glick J.M. (1991): Hip arthroscopy. In: McGinty JB, ed. Arthroscopy.New York: Raven Press: 663-76.
  15. Funke EL andMunzingerU.(1996): Complications in hip arthroscopy. Arthroscopy; 12:156-9.
  16. Byrd JW (1994): Hip arthroscopy utilizing the supine position. Arthroscopy;10:275-280.
  17. Schindler A, Lechevallier JJ, RaoNS and Bowen JR (1995): Diagnostic and therapeutic arthroscopy of the hip in children and adolescents: evaluation of results. J PediatrOrthop; 15:317-21.
  18. Villar RN (1992): Hip arthroscopy. Butterworth-Heinemann Ltd,Oxford.
  19. Brumback R, Ellison TS, Molligan H, et al., (1992): Pudenal nerve palsy complicating intramedullary nailing of the femur. J Bone Joint Surg [Am]; 74-A: 1450-5.
  20. Sampson T.G. (2001): Complications of hip arthroscopy. Clin Sports Med; 20(4):831-835.

How to Cite This Article

Bakr H.M, Shalaby M.S, Idrees K and Said H.G. (2018); HIP ARTHROSCOPY IN MANAGEMENT OF TRAUMATIC AND NON-TRAUMATIC HIP PATHOLOHY., Int. J. of Adv. Res., 6 (10), 745-754, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/7865

Corresponding Author

Dr. Hany Mohammed Abdelfattah Bakr.
Orthopaedic Surgery Department, Zagazig University Hospitals, Egypt.