Evidence map›Paper›PMID 38789896›Full record

ArticleJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2024

Hip arthroscopy with initial access to the peripheral compartment for femoroacetabular impingement: midterm results from a large-scale patient cohort.

Moritz Wagner, Richard A Lindtner, Luca Schaller, Florian Schmaranzer, Ehrenfried Schmaranzer, Peter Vavron, Franz Endstrasser, Alexander Brunner

Registry-linked trialAbstract read
In one paragraph

Article in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05310240 (Evaluation of Prognostic Radiological Parameters on the Outcome After Hip Arthroscopy, a Cross-sectional Study), which is not on this map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05310240 completednot on this map

Evaluation of Prognostic Radiological Parameters on the Outcome After Hip Arthroscopy, a Cross-sectional Study

TypeobservationalSponsorBezirkskrankenhaus St. Johann in TirolRan2022 to 2023Enrolled810ConditionsFemoro-acetabular Impingement, Hip Impingement Syndrome, Hip DiseaseArmsHip arthroscopy
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. The ligamentum teres and its role in hip arthroscopy for femoroacetabular impingement: a systematic review.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024
    Pooled it
  5. Review
  6. Review
  7. Review
  8. Review
  9. Postoperative femoral head cartilage injury after hip arthroscopic treatment for femoroacetabular impingement syndrome and labral tear.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024
    Article
  10. Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Moritz WagnerDepartment of Orthopaedics and Traumatology, District Hospital St. Johann in Tirol, Bahnhofstrasse 14, 6380, St. Johann in Tirol, Austria.
Richard A LindtnerDepartment of Orthopaedics and Traumatology, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Tyrol, Austria. richard.lindtner@i-med.ac.at.ORCID http://orcid.org/0000-0002-4793-4260
Luca SchallerMedical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Tyrol, Austria.
Florian SchmaranzerDepartment of Radiology, Inselspital, Universitätsspital Bern, Bern, Switzerland.
Ehrenfried SchmaranzerDepartment of Radiology, District Hospital St. Johann in Tirol, Bahnhofstrasse 14, 6380, St. Johann in Tirol, Austria.
Peter VavronDepartment of Orthopaedics and Traumatology, District Hospital St. Johann in Tirol, Bahnhofstrasse 14, 6380, St. Johann in Tirol, Austria.
Franz EndstrasserDepartment of Orthopaedics and Traumatology, District Hospital St. Johann in Tirol, Bahnhofstrasse 14, 6380, St. Johann in Tirol, Austria.
Alexander BrunnerDepartment of Orthopaedics and Traumatology, District Hospital St. Johann in Tirol, Bahnhofstrasse 14, 6380, St. Johann in Tirol, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHip arthroscopy with initial access to the peripheral compartment could reduce the risk of iatrogenic injury to the labrum and cartilage; furthermore, it avoids the need for large capsulotomies with separate portals for peripheral and central (intra-articular) arthroscopy. Clinical results of the peripheral-compartment-first technique remain sparse, in contrast to those of conventional hip arthroscopy starting in the intra-articular central compartment. The purpose of this study was to assess outcome of hip arthroscopy with the peripheral-compartment-first technique, including complication rates, revision rates and patient-reported outcome scores. MATERIALS AND

methodsThis outcome study included 704 hips with femoroacetabular impingement. All arthroscopies were performed using the peripheral-compartment-first technique. A joint replacement registry and the institutional database were used to assess the revision and complication rates, while patient-reported outcome measures were used to assess functional outcomes and patient satisfaction.

resultsIn total, 704 hips (615 patients) were followed up for a mean of 6.2 years (range 1 to 9 years). The mean age of the patients was 32.1 ± 9.2 years. During the follow-up period, 26 of 704 (3.7%) hips underwent total hip arthroplasty (THA) after a mean of 1.8 ± 1.2 years, and 18 of the 704 (2.6%) hips required revision hip arthroscopy after a mean of 1.2 ± 2.1 years. 9.8% of the hips had an unsatisfactory patient-reported outcome at final follow-up.

conclusionsThe results for the peripheral-compartment-first technique were promising. We recommend a well-conducted randomized controlled clinical trial to guide future therapeutic recommendations regarding the most favorable hip arthroscopy technique. LEVEL OF EVIDENCE: Level IV, therapeutic study.

trial registrationThis study was registered at ClinicalTrials.gov (U.S. National Library of Medicine; ID: NCT05310240).

Indexed as

ArthroscopyFemoracetabular ImpingementPatient Reported Outcome MeasuresAdolescentAdultFemaleHip JointHumansMaleMiddle AgedPatient SatisfactionPostoperative ComplicationsReoperationRetrospective StudiesTreatment OutcomeYoung AdultArthroscopyFemoroacetabular impingementHip jointOutcomePeripheral compartmentSurgical technique

Identifiers

PMID38789896
PMCPMC11126547

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.