Indications and Outcomes of Secondary Hip Procedures After Failed Hip Arthroscopy: A Systematic Review

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Jacob ShapiraBenjamin G Domb

Abstract

(1) To identify present indications for secondary procedures in patients with failed hip arthroscopy and (2) to assess patient-reported outcomes (PROs) of the secondary procedures, including revision arthroscopy, periacetabular osteotomy (PAO), and total hip arthroplasty (THA). Study groups included patients who had a secondary procedure after failed previous hip arthroscopy whereas the control groups were patients who had a primary procedure but did not require a secondary procedure. Indications and procedures at the time of the secondary operation were documented for each study. Average PROs were recorded, and standardized mean difference was calculated to estimate effect size. Eighteen studies reporting on patients undergoing a secondary procedure after a previous hip arthroscopy were included. The 3 main secondary procedure groups were revision hip arthroscopy, secondary PAO, and secondary THA. Regarding the revision arthroscopy group, the most common indications were labral tears, cam deformity, and pincer deformity. In addition, the most common procedures were femoroplasty, acetabuloplasty, capsular release, and labral reconstruction. The most common indications for the secondary PAO and THA groups were dysplasia and oste...Continue Reading

Citations

Dec 2, 2020·The American Journal of Sports Medicine·Jacob ShapiraBenjamin G Domb
Nov 22, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Cynthia KyinBenjamin G Domb
Feb 4, 2021·Arthroscopy Techniques·J W Thomas Byrd
Jul 17, 2021·EFORT Open Reviews·Markus S HankeKlaus A Siebenrock
Aug 12, 2021·Journal of Hip Preservation Surgery·David R MaldonadoBenjamin G Domb

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