ABSTRACT
Introduction: As a minimally invasive procedure, hip arthroscopy plays an increasingly significant role in the diagnostics and management of hip joint diseases. In this study, we present our initial experience with hip arthroscopy established at our department. Aim: Our aim was to integrate the hip arthroscopy procedure into the surgical protocol of our department, since after reviewing the relevant literature and evaluating our experience gained during study visits abroad, we consider this intervention to be a reasonable and successful technique. Method: Results of 29 hip arthroscopy interventions performed between 01 January 2017 and 15 April 2019 at our department were evaluated by comparing pre- and postoperative modified Harris hip scores (mHHS). Surgeries were performed with 30-degree scopes, typically via standard access sites. The typical indication for surgery was hip impingement syndrome. Results: Isolated cam deformity, isolated pincer deformity and mixed deformity were detected in 3, 9 and 13 cases, respectively. The mean age of the 13 male and 16 female subjects was 44.1 years. The age of our patients ranged between 22 years and 60 years. After surgery, significant improvement of mHHS was detected both according to the F-test and the Student's t-test. Conclusions: Hip arthroscopy is an appropriate treatment alternative for the surgical management of many hip conditions. Even though the learning curve is longer than that of the endoscopic examinations of other joints, adequate surgical design can minimise the risk of complications, making this intervention a potential solution for the management of multiple hip conditions. Orv Hetil. 2020; 161(9): 340-346.
Subject(s)
Arthroscopy , Hip Joint/surgery , Adult , Female , Humans , Male , Middle Aged , Treatment Outcome , Young AdultABSTRACT
OBJECTIVES: This study aims to compare the results of total knee arthroplasties (TKAs) performed after previous combined high tibial osteotomy (CO) to those of a matched control group of primary TKA. PATIENTS AND METHODS: Between 01 August 2006 and 31 December 2011, we performed 24 consecutive cemented TKAs in 24 patients (10 males, 14 females; mean age 69.5 years; range, 60 to 79 years) who had undergone previous CO (study group). The study group was compared to a control group of 24 patients (10 males, 14 females; mean age 69.9 years; range, 63 to 79 years) who were performed primary TKA during the same period. Pre- and postoperative The Knee Society knee and function score and range of movement were determined. The femorotibial angle, the distance between the tangent to the lateral subchondral plate and the top of the fibular head, the transposition of the tibial condyle, the length of the patellar tendon and the tibial slope angle were measured preoperatively. At final follow-up, the same parameters were calculated and the amount of lateral tibial bone resection was determined. RESULTS: The mean follow-up duration was 97 months (range, 61 to 124 months) in the study group and 97 months (range, 61 to 123 months) in the control group. TKA survivorship rate was 100% in both groups. At final follow-up, there were no significant differences regarding the clinical and radiographic data. However, only the amount of the resected lateral bone was significantly lower in the study group than in the control group. CONCLUSION: In young and active people with medial knee arthrosis, in whom the planned correction is 10° or higher, we continue to suggest CO since it does not seem to influence the results of TKA negatively.
