Isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study

Abstract Purpose The aim is to compare the results of isolated hip arthroscopy in patients with borderline dysplasia with Lateral center edge angle (LCEA) between 18° and 25° with a control group of patients with normal LCEA (> 25°). Methods Fifty hip arthroscopies performed in 45 patients were r...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Enrico Tassinari, Federica Mariotti, Francesco Castagnini, Stefano Lucchini, Francesco Perdisa, Giovanni Bracci, Monica Cosentino, Barbara Bordini, Francesco Traina
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Hip arthroscopy Borderline dysplasia Femoro-acetabular impingement Capsular plication Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/ab94fea960444d7eb2a475c0256c6285
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:ab94fea960444d7eb2a475c0256c6285
record_format	dspace
spelling	oai:doaj.org-article:ab94fea960444d7eb2a475c0256c62852021-12-05T12:17:40ZIsolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study10.1186/s40634-021-00428-w2197-1153https://doaj.org/article/ab94fea960444d7eb2a475c0256c62852021-12-01T00:00:00Zhttps://doi.org/10.1186/s40634-021-00428-whttps://doaj.org/toc/2197-1153Abstract Purpose The aim is to compare the results of isolated hip arthroscopy in patients with borderline dysplasia with Lateral center edge angle (LCEA) between 18° and 25° with a control group of patients with normal LCEA (> 25°). Methods Fifty hip arthroscopies performed in 45 patients were retrospectively evaluated. Exclusion criteria were: age > 40, hip arthritis > grade 2 according to Tonnis classification, femoral head avascular necrosis, pediatric’s orthopaedics conditions and true dysplasia with LCEA < 18°.Two groups were identified: group A with 15 hips with LCEA between 25° and 18° and Group control B made of 35 hips with LCEA > 25°. Results The groups were homogeneous for demography and pre-operative WOMAC and HOOS. Osteoplasty for CAM were performed in 100% of patients in both groups, only in 12 hips (34.4%) in group B we had both femoral and acetabular osteoplasty. Labral repair was performed in 86% of patients in group A, in 60% of patients in group B, capsular plication in 93% of group A, in 5% of case of group B. WOMAC and HOOS statically significant improved in both groups at final follow-up (24 months). No cases in both groups required conversion to total hip arthroplasty. Clinical outcomes of study group were comparable to the control group. Conclusion Even if the present small series is not conclusive, we suggest isolated arthroscopic management of patients with FAI and LCEA between 18° and 25°, but capsular plication and careful labral management are strongly recommended. Level of evidence Level IV.Enrico TassinariFederica MariottiFrancesco CastagniniStefano LucchiniFrancesco PerdisaGiovanni BracciMonica CosentinoBarbara BordiniFrancesco TrainaSpringerOpenarticleHip arthroscopyBorderline dysplasiaFemoro-acetabular impingementCapsular plicationOrthopedic surgeryRD701-811ENJournal of Experimental Orthopaedics, Vol 8, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Hip arthroscopy Borderline dysplasia Femoro-acetabular impingement Capsular plication Orthopedic surgery RD701-811
spellingShingle	Hip arthroscopy Borderline dysplasia Femoro-acetabular impingement Capsular plication Orthopedic surgery RD701-811 Enrico Tassinari Federica Mariotti Francesco Castagnini Stefano Lucchini Francesco Perdisa Giovanni Bracci Monica Cosentino Barbara Bordini Francesco Traina Isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study
description	Abstract Purpose The aim is to compare the results of isolated hip arthroscopy in patients with borderline dysplasia with Lateral center edge angle (LCEA) between 18° and 25° with a control group of patients with normal LCEA (> 25°). Methods Fifty hip arthroscopies performed in 45 patients were retrospectively evaluated. Exclusion criteria were: age > 40, hip arthritis > grade 2 according to Tonnis classification, femoral head avascular necrosis, pediatric’s orthopaedics conditions and true dysplasia with LCEA < 18°.Two groups were identified: group A with 15 hips with LCEA between 25° and 18° and Group control B made of 35 hips with LCEA > 25°. Results The groups were homogeneous for demography and pre-operative WOMAC and HOOS. Osteoplasty for CAM were performed in 100% of patients in both groups, only in 12 hips (34.4%) in group B we had both femoral and acetabular osteoplasty. Labral repair was performed in 86% of patients in group A, in 60% of patients in group B, capsular plication in 93% of group A, in 5% of case of group B. WOMAC and HOOS statically significant improved in both groups at final follow-up (24 months). No cases in both groups required conversion to total hip arthroplasty. Clinical outcomes of study group were comparable to the control group. Conclusion Even if the present small series is not conclusive, we suggest isolated arthroscopic management of patients with FAI and LCEA between 18° and 25°, but capsular plication and careful labral management are strongly recommended. Level of evidence Level IV.
format	article
author	Enrico Tassinari Federica Mariotti Francesco Castagnini Stefano Lucchini Francesco Perdisa Giovanni Bracci Monica Cosentino Barbara Bordini Francesco Traina
author_facet	Enrico Tassinari Federica Mariotti Francesco Castagnini Stefano Lucchini Francesco Perdisa Giovanni Bracci Monica Cosentino Barbara Bordini Francesco Traina
author_sort	Enrico Tassinari
title	Isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study
title_short	Isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study
title_full	Isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study
title_fullStr	Isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study
title_full_unstemmed	Isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study
title_sort	isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/ab94fea960444d7eb2a475c0256c6285
work_keys_str_mv	AT enricotassinari isolatedarthroscopictreatmentofintraarticularpathologiesinmildhipdysplasiaashorttermcasecontrolstudy AT federicamariotti isolatedarthroscopictreatmentofintraarticularpathologiesinmildhipdysplasiaashorttermcasecontrolstudy AT francescocastagnini isolatedarthroscopictreatmentofintraarticularpathologiesinmildhipdysplasiaashorttermcasecontrolstudy AT stefanolucchini isolatedarthroscopictreatmentofintraarticularpathologiesinmildhipdysplasiaashorttermcasecontrolstudy AT francescoperdisa isolatedarthroscopictreatmentofintraarticularpathologiesinmildhipdysplasiaashorttermcasecontrolstudy AT giovannibracci isolatedarthroscopictreatmentofintraarticularpathologiesinmildhipdysplasiaashorttermcasecontrolstudy AT monicacosentino isolatedarthroscopictreatmentofintraarticularpathologiesinmildhipdysplasiaashorttermcasecontrolstudy AT barbarabordini isolatedarthroscopictreatmentofintraarticularpathologiesinmildhipdysplasiaashorttermcasecontrolstudy AT francescotraina isolatedarthroscopictreatmentofintraarticularpathologiesinmildhipdysplasiaashorttermcasecontrolstudy
_version_	1718372095060082688

Isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study

Ejemplares similares