Journal article
Outcomes of Revision Hip Arthroscopic Surgery: A Systematic Review and Meta-analysis
The American journal of sports medicine, Vol.48(5), pp.1254-1262
04/01/2020
DOI: 10.1177/0363546519869671
PMID: 31503501
Abstract
Background: While the indications for primary hip arthroscopic surgery in treating femoroacetabular abnormalities continue to be defined, the indications and outcomes for revision hip arthroscopic surgery remain ambiguous. However, revision hip arthroscopic surgery is performed in 5% to 14% of patients after their index procedure. While patient-reported outcomes (PROs) generally improve after revision procedures, the extent of their improvement is not well defined. Purpose: To determine the outcomes and efficacy of revision hip arthroscopic surgery in patients who remain symptomatic after their index procedure. Study Design: Meta-analysis and systematic review. Methods: The terms "hip arthroscopy,""revisions,""outcomes," and "femoroacetabular impingement" were searched in PubMed, Web of Science, Scopus, Cochrane Library, and Google Scholar. After screening, 15 studies were included for review. In addition to hip-specific metrics, functional outcome measures were included. Pooled estimates and 95% CIs were calculated using inverse variance methods. Results: A total of 4765 hips in 4316 patients were identified. The most common indication for revision surgery was inadequate bony resection during the index procedure. Meta-analysis showed that all PROs improved significantly from baseline to final follow-up after revision hip arthroscopic surgery. Notably, the modified Harris Hip Score (mHHS) increased a mean of 17.20 points after revision hip arthroscopic surgery, the Hip Outcome Score-Activities of Daily Living (HOS-ADL) improved by 13.98, and the visual analog scale (VAS) for pain decreased by 3.16. However, when compared with primary hip arthroscopic surgery, the mean PRO scores after revision hip arthroscopic surgery were lower. After revision hip arthroscopic surgery, the rates of conversion to total hip arthroplasty ranged from 0% to 14.3%, and the rates of further arthroscopic revision ranged from 2% to 14%. Conclusion: Inadequate bony resection represents the most common indication for revision hip arthroscopic surgery. PROs improve significantly after revision hip arthroscopic surgery but remain lower than those of patients undergoing primary hip arthroscopic surgery.
Details
- Title: Subtitle
- Outcomes of Revision Hip Arthroscopic Surgery: A Systematic Review and Meta-analysis
- Creators
- Michaela O'Connor - Columbia Univ, Irving Med Ctr, 622 West 168 St,PH-11, New York, NY 10032 USAGabrielle K. Steinl - Columbia University Medical CenterAjay S. Padaki - Columbia University Medical CenterKyle R. Duchman - University of Iowa Health CareRobert W. Westermann - University of IowaT. Sean Lynch - Columbia University Medical Center
- Resource Type
- Journal article
- Publication Details
- The American journal of sports medicine, Vol.48(5), pp.1254-1262
- Publisher
- Sage
- DOI
- 10.1177/0363546519869671
- PMID
- 31503501
- ISSN
- 0363-5465
- eISSN
- 1552-3365
- Number of pages
- 9
- Grant note
- DJO Smith Nephew
- Language
- English
- Date published
- 04/01/2020
- Academic Unit
- Orthopedics and Rehabilitation; Athletic Training Program
- Record Identifier
- 9984304691002771
Metrics
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