دورية أكاديمية
Heterotopic ossification after arthroscopy for hip impingement syndrome
العنوان: | Heterotopic ossification after arthroscopy for hip impingement syndrome |
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المؤلفون: | Guan-Ying Gao, Xin Zhang, Ling-Hui Dai, Hong-Jie Huang, Rui-Qi Wu, Xiao-Dong Ju, Yu Mei, Xing-Yue Niu, Jian-Quan Wang, Yan Xu, Peng Lyu |
المصدر: | Chinese Medical Journal, Vol 132, Iss 7, Pp 827-833 (2019) |
بيانات النشر: | Wolters Kluwer, 2019. |
سنة النشر: | 2019 |
المجموعة: | LCC:Medicine |
مصطلحات موضوعية: | Medicine |
الوصف: | Abstract. Background:. Heterotopic ossification (HO) is a known complication of hip arthroscopy. We investigated incidence of HO after hip arthroscopy and determined whether revision for HO improved outcome. Methods:. A retrospective study was conducted on 242 patients (140 men and 102 women, mean age: 36.2 ± 9.5 years) who underwent hip arthroscopy for femoroacetabular impingement (FAI) between January 2016 and January 2018. The average follow-up period was 22.88 ± 11.74 months (range: 11–34 months). Thirteen (5.37%) cases of HO (six men and seven women, five left hips and eight right hips; mean age: 37.5 ± 4.7 years) were observed. Among them, four cases with HO with obvious pain symptoms and persistent non-remission underwent revision surgery to remove HO. Monthly follow-up was conducted. Visual analog scale (VAS), modified Harris Hip Score (mHHS), and non-Arthritis Hip Score (NAHS) were evaluated and compared between HO and non-HO patients. Independent sample t test, Mann-Whitney U test and the Chi-square test were used for inter-group comparisons. HO degree was evaluated using Brooker classification. Symptoms and function were evaluated before and after revision. Results:. A total of 242 patients were involved in this study. Thirteen cases (5.4%) had imaging evidence of HO. Nine (9/13) were classified as Brooker stage I, three (3/13) Brooker stage II, and one (1/13) Brooker stage III. HO was detected by ultrasonography as early as 3 weeks after operation. After primary surgery, the mHHS of the HO group and non-HO group increased by 13.00 (8.50, 25.50) and 24.00 (14.00, 34.50) points (Z = −1.80, P = 0.08), NAHS increased by 18.00 (9.50, 31.50) and 26.00 (13.50, 36.00) points (Z = −1.34, P = 0.18), and VAS decreased by 3.00 (2.00, 4.00) and 4.00 (3.00, 4.50) points (Z = −1.55, P = 0.12). Average follow-up time after revision was 9.00 ± 2.94 months; mHHS increased by 34.75 points (t = −55.23, P |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 0366-6999 2542-5641 00000000 |
Relation: | http://journals.lww.com/10.1097/CM9.0000000000000153; https://doaj.org/toc/0366-6999; https://doaj.org/toc/2542-5641 |
DOI: | 10.1097/CM9.0000000000000153 |
URL الوصول: | https://doaj.org/article/b67680b4fbbe4839a40b48f99fd4e154 |
رقم الأكسشن: | edsdoj.b67680b4fbbe4839a40b48f99fd4e154 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 03666999 25425641 00000000 |
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DOI: | 10.1097/CM9.0000000000000153 |