The role of arthroscopy in patients with persistent hip pain after total hip arthroplasty
| Autor: | Stephan Herbert Pesendorfer, Christoph von Schulze Pellengahr, Matthias Lahner, T. Lichtinger, Wolfram Teske, Lars Victor von Engelhardt, Gregor Vetter, Marco Hagen, Kiriakos Daniilidis |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Prosthesis-Related Infections Visual analogue scale Arthroplasty Replacement Hip Biomedical Engineering Biophysics Medizin Periprosthetic Health Informatics Bioengineering Osteoarthritis Hip replacement (animal) Osteoarthritis Hip Biomaterials Arthroscopy Postoperative Complications Biopsy Outcome Assessment Health Care medicine Femoracetabular Impingement Humans Aged medicine.diagnostic_test business.industry Middle Aged Sport- und Bewegungswissenschaften medicine.disease Arthralgia Tendon Surgery medicine.anatomical_structure Female Hip Joint Hip arthroscopy Hip Prosthesis Chronic Pain business Information Systems |
| Popis: | BACKGROUND: Total hip arthroplasty (THA) is a safe and successful procedure for the treatment of osteoarthritis. One of the most common postoperative problems remains persistent hip pain. The arthroscopic evaluation of persistent hip pain following THA can be a valuable diagnostic tool in a select number of patients when carried out by experts in this technique. OBJECTIVE: Indication for arthroscopy was persistent pain after THA. Inclusion criteria were an absence of radiological loosening and a sterile aspiration 6 weeks before arthroscopy. Hip joint function and pain were evaluated pre-and postoperatively using the visual analogue scale (VAS) and the Hip Outcome Score (HOS), which scored the activities of daily living (ADL), and a sports subscale. METHODS: 5 patients (3 female, 2 male) with an average age of 60.2 ± 4.27 years (range 5172 years) were included in the study. Arthroscopy with biopsy, adhesiolysis and psoas tendon release was performed 21.0 ± 21.97 months (range 657 months) after primary hip replacement. RESULTS: Pathological findings were prosthetic joint infection (two cases), impingement between acetabular component and psoas tendon (two cases), adhesions of the periprosthetic tissue (one case). The patients achieved a significant improvement of the Hip Outcome Score (HOS), from an average of 45.6 ± 22.5 (range 14.063.1) to 76.5 ± 3.8 (range 41.089.4, P=0.016). Evaluation of the VAS showed a significant improvement from a preoperative value of 8.8 ± 0.5 to a postoperative value of 3.4 ± 1.0 (P=0.001). CONCLUSION: Hip arthroscopy provides a minimal-invasive tool for diagnosis and therapy. In cases of persistent pain after THA, standard diagnostic procedures should be utilised. Arthroscopy of a hip post-THA would be highly specialised. As a next step, arthroscopy helps the diagnosis and therapy of persistent pain after THA. |
| Databáze: | OpenAIRE |
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