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Does previous hip arthroscopy negatively influence the short term clinical result of total hip replacement?

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

The risk that hip preserving surgery may negatively influence the performance and outcome of subsequent total hip replacement (THR) remains a concern. The aim of this study was to identify any negative impact of previous hip arthroscopy on THR.

Methods

Out of 1271 consecutive patients who underwent primary THR between 2005 and 2009, 18 had previously undergone ipsilateral hip arthroscopy. This study group (STG) was compared with two control groups (CG, same approach, identical implants; MCG, paired group matched for age, BMI and Charnley categories). Operative time, blood loss, evidence of heterotopic bone and implant loosening at follow-up were compared between the STG and the MCG. Follow-up WOMAC were compared between the three groups.

Results

Blood loss was not found to be significantly different between the STG and MCG. The operative time was significantly less (p < 0.001) in the STG. There was no significant difference in follow-up WOMAC between the groups. No implant related complications were noted in follow-up radiographs. Two minor complications were documented for the STG and three for the MCG.

Conclusion

We have found no evidence that previous hip arthroscopy negatively influences the performance or short-term clinical outcome of THR.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Orthopaedics, Balgrist, University of Zurich, Forchstr. 340, 8008, Zurich, Switzerland

    Patrick O. Zingg, Alex Schallberger, Hannes A. Rüdiger & Claudio Dora

  2. Department of Orthopaedics, Tauranga Hospital, Tauranga, New Zealand

    Vaughan Poutawera

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  1. Patrick O. Zingg
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  2. Alex Schallberger
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  3. Hannes A. Rüdiger
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  4. Vaughan Poutawera
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Correspondence to Patrick O. Zingg.

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Zingg, P.O., Schallberger, A., Rüdiger, H.A. et al. Does previous hip arthroscopy negatively influence the short term clinical result of total hip replacement?. Arch Orthop Trauma Surg 132, 299–303 (2012). https://doi.org/10.1007/s00402-011-1352-z

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