Patients with increased joint space prove well-suited for revision arthroscopy: 4 study insights

Orthopedic

A study in the American Journal of Sports Medicine found that revision hip arthroscopy is particularly effective for patients with increased joint space and without a history of labral repair surgery, among other characteristics.

The researchers identified 246 patients who received revision hip arthroscopy and 492 patients who received primary hip arthroscopy, in an effort to compare postoperative outcomes. They followed these patients for a minimum of two years and collected outcome scores related to patient activity, function and satisfaction.

 

Here's what you need to know:

 

1. Both those who underwent revision arthroscopy and those who underwent primary arthroscopy saw significant improvement in outcome scores from preoperation to follow-up.

 

2. However, outcome scores for those who underwent revision arthroscopy were overall lower than the outcome scores for those who underwent the primary procedure.

 

3. The researchers noted that improvement was especially noteworthy for revision hip arthroscopy patients who had increased joint space, no prior labral repair and capsular plication at revision.

 

4. In the following years, subsequent hip arthroscopic surgery was reported in 8 percent of the patients who had received primary arthroscopy and in 2 percent of the patients who had received revision arthroscopy.

 

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