Purpose: The aim is to compare the results of isolated hip arthroscopy in patients with borderline dysplasia with Lateral center edge angle (LCEA) between 18° and 25° with a control group of patients with normal LCEA (> 25°). Methods: Fifty hip arthroscopies performed in 45 patients were retrospectively evaluated. Exclusion criteria were: age > 40, hip arthritis > grade 2 according to Tonnis classification, femoral head avascular necrosis, pediatric’s orthopaedics conditions and true dysplasia with LCEA < 18°.Two groups were identified: group A with 15 hips with LCEA between 25° and 18° and Group control B made of 35 hips with LCEA > 25°. Results: The groups were homogeneous for demography and pre-operative WOMAC and HOOS. Osteoplasty for CAM were performed in 100% of patients in both groups, only in 12 hips (34.4%) in group B we had both femoral and acetabular osteoplasty. Labral repair was performed in 86% of patients in group A, in 60% of patients in group B, capsular plication in 93% of group A, in 5% of case of group B. WOMAC and HOOS statically significant improved in both groups at final follow-up (24 months). No cases in both groups required conversion to total hip arthroplasty. Clinical outcomes of study group were comparable to the control group. Conclusion: Even if the present small series is not conclusive, we suggest isolated arthroscopic management of patients with FAI and LCEA between 18° and 25°, but capsular plication and careful labral management are strongly recommended. Level of evidence: Level IV.

Isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study / Tassinari E.; Mariotti F.; Castagnini F.; Lucchini S.; Perdisa F.; Bracci G.; Cosentino M.; Bordini B.; Traina F.. - In: JOURNAL OF EXPERIMENTAL ORTHOPAEDICS. - ISSN 2197-1153. - ELETTRONICO. - 8:1(2021), pp. 112.1-112.8. [10.1186/s40634-021-00428-w]

Isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study

Tassinari E.;Mariotti F.
;
Castagnini F.;Lucchini S.;Perdisa F.;Traina F.
2021

Abstract

Purpose: The aim is to compare the results of isolated hip arthroscopy in patients with borderline dysplasia with Lateral center edge angle (LCEA) between 18° and 25° with a control group of patients with normal LCEA (> 25°). Methods: Fifty hip arthroscopies performed in 45 patients were retrospectively evaluated. Exclusion criteria were: age > 40, hip arthritis > grade 2 according to Tonnis classification, femoral head avascular necrosis, pediatric’s orthopaedics conditions and true dysplasia with LCEA < 18°.Two groups were identified: group A with 15 hips with LCEA between 25° and 18° and Group control B made of 35 hips with LCEA > 25°. Results: The groups were homogeneous for demography and pre-operative WOMAC and HOOS. Osteoplasty for CAM were performed in 100% of patients in both groups, only in 12 hips (34.4%) in group B we had both femoral and acetabular osteoplasty. Labral repair was performed in 86% of patients in group A, in 60% of patients in group B, capsular plication in 93% of group A, in 5% of case of group B. WOMAC and HOOS statically significant improved in both groups at final follow-up (24 months). No cases in both groups required conversion to total hip arthroplasty. Clinical outcomes of study group were comparable to the control group. Conclusion: Even if the present small series is not conclusive, we suggest isolated arthroscopic management of patients with FAI and LCEA between 18° and 25°, but capsular plication and careful labral management are strongly recommended. Level of evidence: Level IV.
2021
Isolated arthroscopic treatment of intra-articular pathologies in mild hip dysplasia: a short-term case control study / Tassinari E.; Mariotti F.; Castagnini F.; Lucchini S.; Perdisa F.; Bracci G.; Cosentino M.; Bordini B.; Traina F.. - In: JOURNAL OF EXPERIMENTAL ORTHOPAEDICS. - ISSN 2197-1153. - ELETTRONICO. - 8:1(2021), pp. 112.1-112.8. [10.1186/s40634-021-00428-w]
Tassinari E.; Mariotti F.; Castagnini F.; Lucchini S.; Perdisa F.; Bracci G.; Cosentino M.; Bordini B.; Traina F.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/876174
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