Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 24, Issue 1, pp 287–294 | Cite as

Hip arthroscopy in the setting of hip arthroplasty

  • S. Heaven
  • Darren de SA
  • N. Simunovic
  • D. S. Williams
  • D. Naudie
  • O. R. Ayeni
Hip
First Online:
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Accepted:

Abstract

Purpose

Hip arthroscopy has traditionally been viewed as a hip preservation procedure performed in patients with native joint pathology. However, as the list of indications for arthroscopic hip intervention grows, further advances are expanding its use. The purpose of this systematic review was to examine existing evidence supporting the use of hip arthroscopy in the setting of hip arthroplasty.

Methods

Using predetermined inclusion criteria, EMBASE, MEDLINE and PubMed were searched for articles addressing arthroscopic hip surgery performed in hips containing joint replacement arthroplasties. Inclusion criteria limited our search to human and English language studies addressing articles where clear surgical indications are described. Article screening was conducted in duplicate.

Results

Seven-hundred and forty-three studies were retrieved before duplicate screening, and 18 satisfied inclusion criteria. Eleven case series, six case reports and one prospective cohort study are included. In total, 171 patients underwent hip arthroscopy following previous arthroplasty. Indications for arthroscopy included iliopsoas tendinopathy (35.8 %), symptomatic hips with no clear diagnosis despite extensive investigation (24.6 %), periprosthetic infection (6.4 %) and intra-articular loose bodies (3.5 %). Almost all patients who underwent hip arthroscopy experienced positive outcomes from the procedure.

Conclusion

Hip arthroscopy after hip arthroplasty is supported by our systematic review for a variety of indications. Hip arthroscopy can be a safe and effective method of treating hip arthroplasty patients with iliopsoas tendinopathy. Hip arthroscopy also has utility in patients with symptomatic hip arthroplasty despite exhaustion of other diagnostic avenues.

Level of evidence

A systematic review of level IV studies.

Keywords

Hip arthroscopy Hip arthroplasty Systematic review Iliopsoas tendinitis 
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Notes

Acknowledgements

This research was supported/partially supported by Dr. Hany Bedair. The authors would like to thank Dr. Bedair for his advice and comments that greatly improved the manuscript.

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Copyright information

© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2014

Authors and Affiliations

  • S. Heaven
    • 1
  • Darren de SA
    • 1
  • N. Simunovic
    • 2
  • D. S. Williams
    • 1
  • D. Naudie
    • 3
  • O. R. Ayeni
    • 1
  1. 1.Division of Orthopaedic Surgery, Department of SurgeryMcMaster UniversityHamiltonCanada
  2. 2.Centre for Evidence Based Orthopaedics, Department of Clinical Epidemiology and BiostatisticsMcMaster UniversityHamiltonCanada
  3. 3.Division of Orthopaedic SurgeryLondon Health Sciences Centre-University HospitalLondonCanada

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