CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(06): 679-684
DOI: 10.1055/s-0039-1693049
Artigo Original
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Post-Treatment Classification for Acetabular Chondral Lesions in Hip Arthroscopy[*]

Article in several languages: português | English
1  Grupo de Quadril, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), Irmandade Santa Casa de Misericórdia, São Paulo, SP, Brasil
,
Maria-Roxana Viamont-Guerra
1  Grupo de Quadril, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), Irmandade Santa Casa de Misericórdia, São Paulo, SP, Brasil
,
Fábio Zego
1  Grupo de Quadril, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), Irmandade Santa Casa de Misericórdia, São Paulo, SP, Brasil
,
Nayra Deise dos Anjos Rabelo
1  Grupo de Quadril, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), Irmandade Santa Casa de Misericórdia, São Paulo, SP, Brasil
2  Laboratório de Análise do Movimento Humano, Departamento de Ciências da Reabilitação, Universidade Nove de Julho - UNINOVE, São Paulo, SP, Brasil
,
Walter Ricioli Junior
1  Grupo de Quadril, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), Irmandade Santa Casa de Misericórdia, São Paulo, SP, Brasil
,
Marcelo Cavalheiro Queiroz
1  Grupo de Quadril, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), Irmandade Santa Casa de Misericórdia, São Paulo, SP, Brasil
› Author Affiliations
Further Information

Publication History

05 March 2018

17 July 2018

Publication Date:
27 August 2019 (online)

Abstract

Objective To describe a postarthroscopic treatment classification system for acetabular chondral damage in the hip and to report the intraobserver and interobserver reliability of such classification.

Methods This is a retrospective review of ninety-nine digital video recordings made during arthroscopic surgery. Patients who underwent arthroscopic treatment for femoroacetabular impingement and evaluated at the hip arthroscopy outpatient clinic between March 2015 and March 2016 were included in the study. Patients with a history of previous hip surgery, radiologic evidence of advanced osteoarthritis (Tönnis grade > 2), who underwent labral resection, or whose digital recordings were incomplete or of insufficient quality for adequate review were excluded. Two orthopedic surgeons, who did not participate in the surgery, independently reviewed the video recordings and classified the remaining acetabular cartilage using the post-treatment classification system. Intraobserver and interobserver analysis was then conducted using intraclass correlation coefficient (ICC).

Results Excellent intraobserver reliability (ICC = 0.790; p < 0.001) and interobserver reliability (ICC = 0.882; p < 0.001) were observed. Both ICC values were statistically significant.

Conclusion The posttreatment classification of the remaining acetabular cartilage has excellent intra and interobserver reliability.

* Work performed at the Hip Group, Orthopedics and Traumatology Department, Irmandade Santa Casa de Misericórdia, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brazil.