The aim of this study, published in the Journal of Pediatric Orthopedics, was to determine whether adolescent and young adult patients undergoing hip arthroscopy for symptomatic femoroacetabular impingement show clinically significant improvements in functional hip outcome scores.
A consecutive series of patients under 18 years of age who had undergone primary hip arthroscopy for symptomatic femoroacetabular impingement was identified using the hospital register. Demographic data, preoperative radiographic measurements, and preoperative and postoperative hip outcome scores (Hip Outcome Score, Activity of Daily Living, Sports-Specific Subscale and modified Harris Hip Score) were collected.
In total 43 patients met the criteria for inclusion in the study and 37 patients were available for a minimum follow-up of 2 years. The mean age was 17 years, 70% were female and 8.1% had open proximal femoral physes. All the patients who took part in competitive sport were able to return to their previous activity. Patients experienced significant improvements after hip arthroscopy, and this was apparent across all the scores. A low body mass index, and not age or sex, was associated with greater clinical improvement. In all, two minor complications were observed and no revision surgery was performed.
The authors of the study concluded that adolescent and young adult patients experience a statistically significant difference in functional outcomes two years after hip arthroscopy for femoroacetabular impingement. In addition, these results can be achieved with a low complication rate and a high rate of return to preoperative sporting activity. About 88% of patients showed a statistically significant improvement on the clinical assessment criteria. The improvement in the patients' condition was not related to age or sex, but there was an association with a lower body mass index.
Source: “Journal of Pediatric Orthopedics”, August 2016
Hip Arthroscopy
Clinically significant improvements after hip arthroscopy for femoroacetabular impingement in adolescent and young adult patients, regardless of sex
Dr Alexandros P. Tzaveas
Orthopaedic Surgeon
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Summary
- A consecutive series of patients under 18 years of age who had undergone primary hip arthroscopy for symptomatic femoroacetabular impingement was identified using the hospital register.
- Demographic data, preoperative radiographic measurements, and preoperative and postoperative hip outcome scores (Hip Outcome Score, Activity of Daily Living, Sports-Specific Subscale and modified Harris Hip Score) were collected.
- In total 43 patients met the criteria for inclusion in the study and 37 patients were available for a minimum follow-up of 2 years.
- The mean age was 17 years, 70% were female and 8.1% had open proximal femoral physes.
- All the patients who took part in competitive sport were able to return to their previous activity.
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