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Clinical Orthopaedics and Related Research®

, Volume 473, Issue 3, pp 1055–1073 | Cite as

Hip Arthroscopy in the Setting of Hip Osteoarthritis: Systematic Review of Outcomes and Progression to Hip Arthroplasty

  • Joanne L. Kemp
  • David MacDonald
  • Natalie J. Collins
  • Anna L. Hatton
  • Kay M. Crossley
Survey

Abstract

Background

Hip arthroscopy is now commonly used to treat hip pain and pathology, including osteoarthritis (OA). Despite this, little is known about the effect of hip arthroscopy on outcomes of pain and function and progression to total hip arthroplasty (THA) in hip OA.

Questions/purposes

This systematic review aimed to (1) determine pain and function outcomes after hip arthroscopy in people with hip OA; (2) compare the outcome after hip arthroscopy between people with and without hip OA; and (3) report the likelihood of progression to THA in patients with hip OA after hip arthroscopy.

Methods

This review was conducted in accordance with the PRISMA statement. The Downs and Black checklist was used for quality appraisal. Studies scoring positively on at least 50% of items were included in final analyses. Standardized mean differences (SMDs) were calculated where possible or study conclusions are presented.

Results

Twenty-two studies were included in the final analyses. Methodological quality and followup time varied widely. Moderate to large SMDs were reported for people with and without hip OA; however, the positive effects of the intervention were smaller for people with hip OA. Greater severity of hip OA and older age each predicted more rapid progression to THA.

Conclusions

Patients with hip OA report positive outcomes from hip arthroscopy, although observed positive effects may be inflated as a result of methodological limitations of the included studies. Patients with hip OA had inferior results compared with those who did not. Chondropathy severity and patient age were associated with a higher risk and more rapid progression to THA. High-quality comparative studies are required to confirm the effects of hip arthroscopy on symptoms and structural change in people with hip OA.

Keywords

NAHS Labral Pathology Outerbridge Grade Fibrin Adhesive Cartilage Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

11999_2014_3943_MOESM1_ESM.docx (54 kb)
Supplementary material 1 (DOCX 53 kb)

References

  1. 1.
    Agricola R, Heijboer M, Bierma-Zeinstra S, Verhaar J, Weinans H, Waarsing J. Cam-type deformities strongly predict total hip replacement within 5 years in those with early symptomatic OA: a prospective cohort study (check). Osteoarthritis Cartilage. 2012;20(Suppl 1):S203.CrossRefGoogle Scholar
  2. 2.
    Altman R, Alarcon G, Appelrouth D, Bloch D, Borenstein D, Brandt K, Brown C, Cooke TD, Daniel W, Feldman D, Greenwald R, Hochberg M, Howell D, Ike R, Kapila P, Kaplan D, Koopman W, Marino C, McDonald E. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hip. Arthritis Rheum. 1991;34:505–514.PubMedCrossRefGoogle Scholar
  3. 3.
    Arthritis Australia. Arthritis—The Bottom Line. The Economic Impact of Arthritis in Australia. Canberra, Australia: Arthritis Australia; 2005.Google Scholar
  4. 4.
    Barton C, Lack S, Malliaras P, Morrissey D. Gluteal muscle activity and patellofemoral pain syndrome: a systematic review. Br J Sports Med. 2013;47:207–214.PubMedCrossRefGoogle Scholar
  5. 5.
    Bauer G, Kinzl L. Arthrodesis of the ankle joint [in German]. Orthopade. 1996;25:158–165.PubMedCrossRefGoogle Scholar
  6. 6.
    Beckett LA, Brock DB, Lemke JH, de Leon CFM, Guralnik JM, Fillenbaum GG, Branch LG, Wetle TT, Evans DA. Analysis of change in self-reported physical function among older persons in four population studies. Am J Epidemiol. 1996;143:766–778.PubMedCrossRefGoogle Scholar
  7. 7.
    Bedi A, Chen N, Robertson W, Kelly BT. The management of labral tears and femoroacetabular impingement of the hip in the young, active patient. Arthroscopy. 2008;24:1135–1145.PubMedCrossRefGoogle Scholar
  8. 8.
    Byrd JT, Jones KM. Arthroscopic management of femoroacetabular impingement: minimum 2-year follow-up. Arthroscopy. 2011;27:1379–1388.PubMedCrossRefGoogle Scholar
  9. 9.
    Byrd JW, Jones KS. Prospective analysis of hip arthroscopy with 2-year follow-up. Arthroscopy. 2000;16:578–587.PubMedCrossRefGoogle Scholar
  10. 10.
    Cohen J. Statistical Power Analysis for the Behavioral Sciences. Hillsdale, NJ, USA: Lawrence Erlbaum Associates; 1988.Google Scholar
  11. 11.
    Collins N, Bisset L, McPoil T, Vicenzino B. Foot orthoses in lower limb overuse conditions: a systematic review and meta-analysis. Foot Ankle Int. 2007;28:396–412.PubMedCrossRefGoogle Scholar
  12. 12.
    Deeks JJ, Dinnes J, D’Amico R, Sowden AJ, Sakarovitch C, Song F, Petticrew M, Altman DG. Evaluating non-randomised intervention studies. Health Technol Assess. 2003;7:iii–x, 1–173.Google Scholar
  13. 13.
    Downs S, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health. 1998;52:377–384.PubMedCentralPubMedCrossRefGoogle Scholar
  14. 14.
    Egerton T, Hinman RS, Takla A, Bennell KL, O’Donnell J. Intraoperative cartilage degeneration predicts outcome 12 months after hip arthroscopy. Clin Orthop Relat Res. 2013;471:593–599.PubMedCentralPubMedCrossRefGoogle Scholar
  15. 15.
    Felson DT. Epidemiology of hip and knee osteoarthritis. Epidemiol Rev. 1988;10:1–28.PubMedGoogle Scholar
  16. 16.
    Fontana A, Bistolfi A, Crova M, Rosso F, Massazza G. Arthroscopic treatment of hip chondral defects: autologous chondrocyte transplantation versus simple débridement—a pilot study. Arthroscopy. 2012;28:322–329.PubMedCrossRefGoogle Scholar
  17. 17.
    Gedouin JE, Duperron D, Langlais F, Thomazeau H. Update to femoroacetabular impingement arthroscopic management. Orthop Traumatol Surg Res. 2010;96:222–227.PubMedCrossRefGoogle Scholar
  18. 18.
    Gedouin JE, May O, Bonin N, Nogier A, Boyer T, Sadri H, Villar RN, Laude F. Assessment of arthroscopic management of femoroacetabular impingement. A prospective multicenter study. Orthop Traumatol Surg Res. 2010;96:S59–S67.Google Scholar
  19. 19.
    Haviv B, O’Donnell J. The incidence of total hip arthroplasty after hip arthroscopy in osteoarthritic patients. Sports Med Arthrosc Rehabil Ther Technol. 2010;2:18.PubMedCentralPubMedCrossRefGoogle Scholar
  20. 20.
    Haviv B, O’Donnell J. Arthroscopic treatment for acetabular labral tears of the hip without bony dysmorphism. Am J Sports Med. 2011;39(Suppl):79S–84S.PubMedCrossRefGoogle Scholar
  21. 21.
    Haviv B, Singh PJ, Takla A, O’Donnell J. Arthroscopic femoral osteochondroplasty for cam lesions with isolated acetabular chondral damage. J Bone Joint Surg Br. 2010;92:629–633.PubMedCrossRefGoogle Scholar
  22. 22.
    Helenius I, Tanskanen P, Haapala J, Niskanen R, Remes V, Mokka R, Korkala O. Hip arthroscopy in osteoarthritis: a review of 68 patients. Scand J Surg. 2001;90:28–31.Google Scholar
  23. 23.
    Higgins JP, Green S. Cochrane Handbook for Systematic Reviews of Interventions. Chichester, West Sussex, UK: Wiley Blackwell; 2008.CrossRefGoogle Scholar
  24. 24.
    Horisberger M, Brunner A, Herzog RF. Arthroscopic treatment of femoral acetabular impingement in patients with preoperative generalized degenerative changes. Arthroscopy. 2010;26:623–629.PubMedCrossRefGoogle Scholar
  25. 25.
    Ilizaliturri VM Jr, Gonzalez-Gutierrez B, Gonzalez-Ugalde H, Camacho-Galindo J. Hip arthroscopy after traumatic hip dislocation. Am J Sports Med. 2011;39(Suppl):50S–57S.PubMedCrossRefGoogle Scholar
  26. 26.
    Ilizaliturri VM Jr, Nossa-Barrera JM, Acosta-Rodriguez E, Camacho-Galindo J. Arthroscopic treatment of femoroacetabular impingement secondary to paediatric hip disorders. J Bone Joint Surg Br. 2007;89:1025–1030.PubMedCrossRefGoogle Scholar
  27. 27.
    Kamath AF, Componovo R, Baldwin K, Israelite CL, Nelson CL. Hip arthroscopy for labral tears: review of clinical outcomes with 4.8-year mean follow-up. Am J Sports Med. 2009;37:1721–1727.PubMedCrossRefGoogle Scholar
  28. 28.
    Katz JN, Brophy RH, Chaisson CE, de Chaves L, Cole BJ, Dahm DL, Donnell-Fink LA, Guermazi A, Haas AK, Jones MH, Levy BA, Mandl LA, Martin SD, Marx RG, Miniaci A, Matava MJ, Palmisano J, Reinke EK, Richardson BE, Rome BN, Safran-Norton CE, Skoniecki DJ, Solomon DH, Smith MV, Spindler KP, Stuart MJ, Wright J, Wright RW, Losina E. Surgery versus physical therapy for a meniscal tear and osteoarthritis. N Engl J Med. 2013;368:1675–1684.PubMedCentralPubMedCrossRefGoogle Scholar
  29. 29.
    Kemp JL, Collins NJ, Makdissi M, Schache AG, Machotka Z, Crossley K. Hip arthroscopy for intra-articular pathology: a systematic review of outcomes with and without femoral osteoplasty. Br J Sports Med. 2012;46:632–643.PubMedCrossRefGoogle Scholar
  30. 30.
    Kemp JL, Collins NJ, Roos EM, Crossley KM. Psychometric properties of patient-reported outcome measures for hip arthroscopy. Am J Sports Med. 2013;41:2065–2073.PubMedCrossRefGoogle Scholar
  31. 31.
    Landis JR, Koch GG. Agreement methods for categorical data. Biometrics. 1977;33:159–174.PubMedCrossRefGoogle Scholar
  32. 32.
    Larson CM, Giveans MR, Taylor M. Does arthroscopic FAI correction improve function with radiographic arthritis? Clin Orthop Relat Res. 2011;469:1667–1676.PubMedCentralPubMedCrossRefGoogle Scholar
  33. 33.
    Lawrence RC, Helmick CG, Arnett FC, Deyo RA, Felson DT, Giannini EH, Heyse SP, Hirsch R, Hochberg MC, Hunder GG, Liang MH, Pillemer SR, Steen VD, Wolfe F. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis Rheum. 1998;41:778–799.PubMedCrossRefGoogle Scholar
  34. 34.
    Liberati A, Tetzlaff, Mulrow, Gøtzsche. The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 2009;6:1–28.CrossRefGoogle Scholar
  35. 35.
    Margheritini F, Villar RN. The efficacy of arthroscopy in the treatment of hip osteoarthritis. Chir Organi Mov. 1999;84:257–261.PubMedGoogle Scholar
  36. 36.
    McCarthy JC, Jarrett BT, Ojeifo O, Lee JA, Bragdon CR. What factors influence long-term survivorship after hip arthroscopy? Clin Orthop Relat Res. 2011;469:362–371.PubMedCentralPubMedCrossRefGoogle Scholar
  37. 37.
    McCormick F, Nwachukwu BU, Alpaugh K, Martin SD. Predictors of hip arthroscopy outcomes for labral tears at minimum 2-year follow-up: the influence of age and arthritis. Arthroscopy. 2012;28:1359–1364.PubMedCrossRefGoogle Scholar
  38. 38.
    McDonald JE, Herzog MM, Philippon MJ. Return to play after hip arthroscopy with microfracture in elite athletes. Arthroscopy. 2014;29:330–335.CrossRefGoogle Scholar
  39. 39.
    Millenium Research Group. Millennium research group report 2009. October 26, 2009. Available at: http://www.bio-medicine.org/medicine-news-1/Hip-Arthroscopy-Procedures-to-Soar-Through-2013-51045-1/. Accessed November 10, 2011.
  40. 40.
    Montgomery SR, Ngo SS, Hobson T, Nguyen S, Alluri R, Wang JC, Hame SL. Trends and demographics in hip arthroscopy in the United States. Arthroscopy. 2013;29:661–665.PubMedCrossRefGoogle Scholar
  41. 41.
    Ng VY, Arora N, Best TM, Xueliang P, Ellis TJ. Efficacy of surgery for femoroacetabular impingement: a systematic review. Am J Sports Med. 2010;38:2337–2345.PubMedCrossRefGoogle Scholar
  42. 42.
    Nicholls AS, Kiran A, Pollard TCB, Hart DJ, Arden CPA, Gill T, Murray DW, Carr AJ, Arden NK. The association between hip morphology parameters and nineteen-year risk of end-stage osteoarthritis of the hip: a nested case-control study. Arthritis Rheum. 2011;63:3392–3400.PubMedCentralPubMedCrossRefGoogle Scholar
  43. 43.
    Nilsdotter AK, Lohmander LS. Age and waiting time as predictors of outcome after total hip replacement for osteoarthritis. Rheumatology. 2002;41:1261–1267.PubMedCrossRefGoogle Scholar
  44. 44.
    Palmer DH, Ganesh V, Comfort T, Tatman P. Midterm outcomes in patients with cam femoroacetabular impingement treated arthroscopically. Arthroscopy. 2012;28:1671–1681.PubMedCrossRefGoogle Scholar
  45. 45.
    Parvizi J, Bican O, Bender B, Mortazavi SMJ, Purtill JJ, Erickson J, Peters C. Arthroscopy for labral tears in patients with developmental dysplasia of the hip: a cautionary note. J Arthroplasty. 2009;24:110–113.PubMedCrossRefGoogle Scholar
  46. 46.
    Philippon MJ, Briggs KK, Yen Y, Kuppersmith DA. Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction: minimum two-year follow-up. J Bone Joint Surg Br. 2009;91:16–23.PubMedCrossRefGoogle Scholar
  47. 47.
    Portney L, Watkins M. Foundations of Clinical Research–Applications to Clinical Practice. Upper Saddle River, NJ, USA: Pearson Education; 2009.Google Scholar
  48. 48.
    Pritzker KP, Gay S, Jimenez SA, Ostergaard K, Pelletier JP, Revell PA, Salter D, van den Berg WB. Osteoarthritis cartilage histopathology: grading and staging. Osteoarthritis Cartilage. 2006;14:13–29.PubMedCrossRefGoogle Scholar
  49. 49.
    Saunders LD, Soomro GM, Buckingham J, Jamtvedt G, Raina P. Assessing the methodological quality of nonrandomized intervention studies. West J Nurs Res. 2003;25:223–237.PubMedCrossRefGoogle Scholar
  50. 50.
    Stahelin L, Stahelin T, Jolles BM, Herzog RF. Arthroscopic offset restoration in femoroacetabular cam impingement: accuracy and early clinical outcome. Arthroscopy. 2008;24:51–57.e51.Google Scholar
  51. 51.
    Streich NA, Gotterbarm T, Barie A, Schmitt H. Prognostic value of chondral defects on the outcome after arthroscopic treatment of acetabular labral tears. Knee Surg Sports Traumatol Arthrosc. 2009;17:1257–1263.PubMedCrossRefGoogle Scholar
  52. 52.
    Streich NA, Schmitt H. Does a cartilage defect affect the result of partial acetabular labrum resection? Sports Orthopedics and Traumatology. 2008;23:260–263.Google Scholar
  53. 53.
    Tijssen M, van Cingel R, van Melick N, de Visser E. Patient-Reported Outcome questionnaires for hip arthroscopy: a systematic review of the psychometric evidence. BMC Musculoskelet Disord. 2011;12:117–124.PubMedCentralPubMedCrossRefGoogle Scholar
  54. 54.
    Tönnis D, Heinecke A. Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J Bone Joint Surg Am. 1999;81:1747–1770.PubMedGoogle Scholar
  55. 55.
    Tzaveas AP, Villar RN. Arthroscopic repair of acetabular chondral delamination with fibrin adhesive. Hip Int. 2010;20:115–119.PubMedGoogle Scholar
  56. 56.
    Vasiliadis HS, Wasiak J. Autologous chondrocyte implantation for full thickness articular cartilage defects of the knee. Cochrane Database Syst Rev. 2010;10:CD003323.Google Scholar
  57. 57.
    Wilkin G, March G, Beaulé P. Arthroscopic acetabular labral débridement in patients forty-five years of age or older has minimal benefit for pain of function. J Bone Joint Surg Am. 2014;96:113–118.PubMedCrossRefGoogle Scholar
  58. 58.
    Zhang W, Nuki G, Moskowitz RW, Abramson S, Altman RD, Arden NK, Bierma-Zeinstra S, Brandt KD, Croft P, Doherty M, Dougados M, Hochberg M, Hunter DJ, Kwoh K, Lohmander LS, Tugwell P. OARSI recommendations for the management of hip and knee osteoarthritis. Part III: changes in evidence following systematic cumulative update of research published through January 2009. Osteoarthritis Cartilage. 2010;18:476–499.PubMedCrossRefGoogle Scholar

Copyright information

© The Association of Bone and Joint Surgeons® 2014

Authors and Affiliations

  • Joanne L. Kemp
    • 1
    • 2
  • David MacDonald
    • 1
  • Natalie J. Collins
    • 3
  • Anna L. Hatton
    • 1
  • Kay M. Crossley
    • 1
  1. 1.School of Health and Rehabilitation SciencesUniversity of QueenslandBrisbaneAustralia
  2. 2.Australian Centre for Research Into Injury in Sport and Its PreventionFederation UniversityBallaratAustralia
  3. 3.Melbourne School of EngineeringUniversity of MelbourneMelbourneAustralia

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