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Revision hip arthroscopic surgery: outcome at three years

  • Hip
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

This study describes the medium-term results of revision hip arthroscopy.

Methods

Patients with persistent hip pain and a positive impingement sign were considered for revision surgery after the exclusion of other causes of groin pain. Seventy-four consecutive patients were prospectively assessed using the modified Harris hip score for a period of 3 years after surgery. Of the 74 patients, 11 had inadequate follow-up data; thus, a total of 63 patients were qualified for the study. The mean age at index surgery was 37 years, comprising 27 males and 36 females.

Results

Revision surgery was performed at a mean of 3 years from index surgery. Chondral lesion associated with labral re-injury was the most common finding at revision arthroscopy. In contrast to other authors, however, only 31 % of our patients underwent revision for persistent femoroacetabular impingement. The mean pre-operative mHHS for all 63 patients was 54 (SD 14.5). The mean post-operative mHHS was 53 (SD 14.9) at 6 weeks, 62 (SD 17.5) at 6 months, 63 (SD 16.5) at 1 year, 64 (SD 16.5) at 2 years and 59 (SD 16.5) at 3 years (p = n.s., 0.02, 0.045, 0.039 and n.s., respectively).

Conclusions

Revision arthroscopy results in improvement in outcome in the first 3 years after revision surgery with a success rate of 63.4 % at 1 year, falling to 55.6 % by 3 years.

Level of evidence

IV.

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Authors and Affiliations

  1. The Richard Villar Practice, Spire Cambridge Lea Hospital, Impington, Cambridge, UK

    Alessandro Aprato, Narlaka Jayasekera & Richard N. Villar

  2. Corso Lanza 72, 10131, Torino, Italy

    Alessandro Aprato

Authors
  1. Alessandro Aprato
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  2. Narlaka Jayasekera
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  3. Richard N. Villar
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Correspondence to Alessandro Aprato.

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Aprato, A., Jayasekera, N. & Villar, R.N. Revision hip arthroscopic surgery: outcome at three years. Knee Surg Sports Traumatol Arthrosc 22, 932–937 (2014). https://doi.org/10.1007/s00167-013-2373-7

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  • DOI: https://doi.org/10.1007/s00167-013-2373-7

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