Document Detail


Arthroscopy of the hip in patients following joint replacement.
MedLine Citation:
PMID:  21705559     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Arthroscopy of the native hip is an established diagnostic and therapeutic procedure. Its application in the symptomatic replaced hip is still being explored. We describe the use of arthroscopy of the hip in 24 symptomatic patients following total hip replacement, resurfacing arthroplasty of the hip and partial resurfacing (study group), and compared it with arthroscopy of the native hip in 24 patients (control group). A diagnosis was made or confirmed at arthroscopy in 23 of the study group and a therapeutic arthroscopic intervention resulted in relief of symptoms in ten of these. In a further seven patients it led to revision hip replacement. In contrast, arthroscopy in the control group was diagnostic in all 24 patients and the resulting arthroscopic therapeutic intervention provided symptomatic relief in 21. The mean operative time in the study group (59.7 minutes (35 to 93)) was less than in the control group (71 minutes (40 to 100), p = 0.04) but the arthroscopic approach was more difficult in the arthroplasty group. We suggest that arthroscopy has a role in the management of patients with a symptomatic arthroplasty when other investigations have failed to provide a diagnosis.
Authors:
A S Bajwa; R N Villar
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  93     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-06-27     Completed Date:  2011-08-29     Revised Date:  2011-12-09    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  890-6     Citation Subset:  AIM; IM    
Affiliation:
The Richard Villar Practice, The Wellington Hospital, 8a Wellington Place, London NW8 9LE, UK. alibajwa@doctors.org.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthroplasty, Replacement, Hip / adverse effects*,  methods
Arthroscopy*
Epidemiologic Methods
Female
Fluoroscopy
Hip Joint
Hip Prosthesis / adverse effects*
Humans
Male
Middle Aged
Postoperative Care / methods
Postoperative Complications / diagnosis
Preoperative Care / methods
Prosthesis Failure
Reoperation / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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