The role of Arthroscopy in investigating and managing the painful resurfacing hip arthroplasty
Dr David Young
50 participants
Jun 1, 2012
Observational
Conditions
Summary
This retrospective study aims to evaluate the role of hip arthroscopy in patients who have undergone hip resurfacing surgery and who continue to have symptoms in the same hip. Symptoms may include pain, stiffness, clicking, giving way episodes or weakness. Pathologies causing these symptoms, which reside within the hip joint can be more accurately assessed and treated by the insertion of an arthoscope within the hip joint capsule. The study involves reviewing patient files and operating notes and subsequently conducting a phone call or a follow up visit, if possible, to evaluate current patient status. There will not be follow up appointments made specifically for fulfilling the purposes of the study. However, if the patient is attending a pre-booked follow up visit, then evaluation of patient functional status will be carried out concurrently. By analysing our series of hip arthroscopies used to treat symptomatic resurfacing arthroplasties, we hope to better define and categorise causes of persisting problems. This will help improve patient outcomes. Arthroscopy after hip resurfacing may assist in final diagnosis and address symptoms, yielding good clinical results.
Eligibility
Inclusion Criteria5
- a. Male or female patients aged between 30-65
- b. Healthy patients undergoing hip Arthroscopy due to painful hip arthroplasty
- c. No other influential disabilities in lower limbs
- d. No chronic use of NSAID, analgesics, steroids or chemotherapy drugs
- e. Base line activity level - Tegner 3 and above
Exclusion Criteria4
- a. Patients with major ligamentous laxity
- b. Patients with extreme ROM needs (such as ballet dancers)
- c. Patients suffering from connective tissue disease
- d. Adjuvant required surgical procedure to common cam FAI surgery (such as IP release)
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Interventions
This retrospective study aims to evaluate the role of hip arthroscopy in patients who have undergone hip resurfacing surgery and who continue to have symptoms in the same hip. Symptoms may include pain, stiffness, clicking, giving way episodes or weakness. Pathologies causing these symptoms, which reside within the hip joint can be more accurately assessed and treated by the insertion of an arthoscope within the hip joint capsule. The study involves reviewing patient files and operating notes from 2001-2008, and subsequently conducting a phone call or a follow up visit, if possible, to evaluate current patient status. There will not be follow up appointments made specifically for fulfilling the purposes of the study. However, if the patient is attending a pre-booked follow up visit, then evaluation of patient functional status will be carried out concurrently. The source of this data will be from patients treated and seen through the Melbourne Orthopaedic Group.
Locations(1)
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ACTRN12612001203842