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Minimally invasive treatment for idiopathic chondrolysis of the hip: analysis of forty-one cases

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Abstract

Purpose

Idiopathic chondrolysis of the hip is characterized by the loss of the articular cartilage of the hip joint with spectrum ranging from full recovery to fibrous ankylosis. Study assessed outcomes following intra-articular steroid injections, joint manipulation and traction immobilization.

Methods

Retrospective (2012–2021) review of 41 cases treated for idiopathic chondrolysis of hip, assessed pre-operatively and post-operatively (minimum 2-year follow-up) using Children’s Hospital Oakland Hip Evaluation Score (CHOHES), visual analogue scale (VAS) and range of motion measurements.

Results

Twenty-five patients (62%) achieved painless mobility, 6 (14%) had hip stiffness without pain and 10 (24%) had painful and stiff hips at final follow-up. They had a mean age of 12.49 ± 2.4 years and a mean follow-up duration of 33.15 ± 13.1 months. Range of motion improved significantly (p < 0.05). VAS improved to 3.93 ± 1.3 from 7.8 ± 0.7. CHOHES improved from 29.12 ± 9.9 to 56.37 ± 17.6.

Conclusion

Intra-articular steroid injection, manipulation and traction immobilization may effectively treat idiopathic chondrolysis of the hip by enhancing patient function and reducing the need for further surgical intervention.

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Data Availability

The data presented in this paper is available on request from the corresponding author.

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Acknowledgements

The authors acknowledge the help provided by Dr. Sughandh Kaparthi.

Funding

The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.

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Authors and Affiliations

  1. Department of Pediatric Orthopaedics, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India

    Sandeep Patwardhan

  2. Fellow Pediatric Orthopaedics, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, India

    Sanika Rapole

  3. Department of Orthopaedics, Moolchand Medicity, New Delhi, India

    Udit Vinayak

  4. Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India

    Ashok Shyam, Parag Kantilal Sancheti & Vineet Bangad

Authors
  1. Sandeep Patwardhan
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  2. Sanika Rapole
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Contributions

SP: conceived the study; UV: performed the statistical analysis, interpretation of the data; SR: wrote the manuscript; AS: revised the manuscript, interpretation of the data; PKS: revised the manuscript; VB: acquisition of data.

Corresponding author

Correspondence to Udit Vinayak.

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Ethical approval

This study received ethical approval from the local institutional review. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Written informed consent was obtained from the parents of the participants.

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The authors confirm that individuals participating in the human research study granted their informed consent for the inclusion of images in Figs. 2, 3, 4 and 5 in this publication.

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Patwardhan, S., Rapole, S., Vinayak, U. et al. Minimally invasive treatment for idiopathic chondrolysis of the hip: analysis of forty-one cases. International Orthopaedics (SICOT) 48, 1627–1634 (2024). https://doi.org/10.1007/s00264-024-06137-0

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