ArticleBMC musculoskeletal disorders2016
Osteoarthritic changes rather than age predict outcome following arthroscopic treatment of femoroacetabular impingement in middle-aged patients.
Article in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Joint Space Narrowing Relative to the Contralateral Side Predicts Early Conversion to Total Hip Arthroplasty After Primary Hip Arthroscopy.Orthopaedic journal of sports medicine · 2025Article
- The HAR-index: a reliable method for evaluating the risk of total hip arthroplasty conversion after hip arthroscopy for femoroacetabular impingement.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Prognostic Factors for Conversion to Arthroplasty after Hip Arthroscopy. Review of the Literature.Surgery journal (New York, N.Y.) · 2021Review
- Preoperative risk factors in hip arthroscopy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Evaluation of outcome reporting trends for femoroacetabular impingement syndrome- a systematic review.Journal of experimental orthopaedics · 2021Review
- Risk Factors for Conversion of Hip Arthroscopy to Total Hip Arthroplasty: A Large Closed-Cohort Study.Arthroscopy, sports medicine, and rehabilitation · 2020Article
- Does hip preservation surgery prevent arthroplasty? Quantifying the rate of conversion to arthroplasty following hip preservation surgery.Journal of hip preservation surgery · 2020Review
- Midterm-clinical Outcomes after Hip Arthroscopy in Middle-aged Patients with Early Osteoarthritis.Hip & pelvis · 2020Article
- Predictors of Outcomes After Hip Arthroscopic Surgery for Femoroacetabular Impingement: A Systematic Review.Orthopaedic journal of sports medicine · 2019Review
- What the papers say.Journal of hip preservation surgery · 2016Article
- Unnecessary interventions for the management of hip osteoarthritis: a population-based cohort study.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOur purpose was to evaluate outcome following arthroscopic treatment of femoroacetabular impingement (FAI) in middle-aged patients and to define risk factors for conversion to total hip arthroplasty (THA).
methodsThis was a retrospective case series of 79 consecutive patients (40 to 65 years) undergoing arthroscopic treatment of FAI (follow-up ≥12 months). Outcome at follow-up was assessed using Hip outcome score (HOS). Alpha angle, Kellgren Lawrence grade (K-L grade), joint space width (JS), lateral center edge (LCE) angle, caput-collum-diaphysis (CCD) angle and acetabular index (AI) were analysed retrospectively. THA group and Non-THA group were compared.
resultsSeventy-nine patients (mean age 48.6 years, mean follow-up 32 months) were included. 18 patients (22.8 %) were converted to THA. Mean HOS score in the Non-THA group at time point of follow-up was 80.2. Non-THA group and THA group showed no significant differences for mean age (48.2 years vs. 49.9 years, p = 0.278), alpha angel (p = 0.541), LCE (p = 0.294), CCD (p = 0.101) and AI (p = 0.661) in contrast to differences for JS (p = <0.001) and K-L grade (p = <0.001). Risk of conversion to THA was higher for patients with K-L grade 3 (p = 0.003) or joint space less or equal 2 mm (p = 0.001).
conclusionsOne fifth of the middle-aged patients required early conversion to THA. Advanced JS narrowing and K-L grade rather than age alone can be considered as risk factor for conversion to THA.
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