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DOI: 10.1055/s-0040-1708515
Functional Outcomes of Arthroscopic Treatment in Femoroacetabular Impingement in Patients over 60 Years Old Compared with Patients Aged 40 Years or Younger[*]
Article in several languages: português | English
Abstract
Objective To evaluate the functional outcomes of patients diagnosed with femoroacetabular impingement (FAI) older than 60 years, compared with those of patients of age 40 years or younger.
Methods This was a retrospective review of patients with FAI who underwent hip arthroscopy between 2010 and 2015. The patients were adults aged over 60 years with Tönnis ≤ 1 matched in a 1:1 ratio with adults aged 40 years or younger, according to the type of deformity (cam, pincer, or mixed), sex, and the date when the surgery was performed.
Results Thirty-four patients were included in each group. The mean age was 30.6 ± 6.9 years and 65.6 ± 4.6 years in the control and case groups, respectively. There were no significant differences between the groups at 1-year follow-up (p > 0.05). In the group with older patients (case group), we observed a change in the total Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score from 46.3 to 22.0 in the 1st postoperative year, while the control cases improved in the WOMAC score from 38.1 to 7.2 in relation to the preoperative stage.
Conclusion In the group of patients ≤ 40 years old, a considerable change was observed in the WOMAC score without a statistical significance compared with the > 60 years group. This observation suggests that hip arthroscopy is beneficial when there is an appropriate selection of patients with FAI, regardless the age of the patient.
* Work performed in the Hip Preservation Unit of the Institute of Osteoarticular Diseases, Centro Médico Imbanaco, Cali, Colombia.
Publication History
Received: 13 December 2018
Accepted: 20 December 2019
Publication Date:
02 April 2020 (online)
© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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Referências
- 1 Ganz R, Leunig M, Leunig-Ganz K, Harris WH. The etiology of osteoarthritis of the hip: an integrated mechanical concept. Clin Orthop Relat Res 2008; 466 (02) 264-272
- 2 Leunig M, Ganz R. [Femoroacetabular impingement. A common cause of hip complaints leading to arthrosis]. Unfallchirurg 2005; 108 (01) 9-10 , 12–17
- 3 Murphy NJ, Eyles JP, Hunter DJ. Hip Osteoarthritis: Etiopathogenesis and Implications for Management. Adv Ther 2016; 33 (11) 1921-1946
- 4 Griffin DW, Kinnard MJ, Formby PM, McCabe MP, Anderson TD. Outcomes of Hip Arthroscopy in the Older Adult: A Systematic Review of the Literature. Am J Sports Med 2017; 45 (08) 1928-1936
- 5 Ben Tov T, Amar E, Shapira A, Steinberg E, Atoun E, Rath E. Clinical and functional outcome after acetabular labral repair in patients aged older than 50 years. Arthroscopy 2014; 30 (03) 305-310
- 6 Philippon MJ, Schroder E Souza BG, Briggs KK, Briggs KK. Hip arthroscopy for femoroacetabular impingement in patients aged 50 years or older. Arthroscopy 2012; 28 (01) 59-65
- 7 Domb BG, Linder D, Finley Z. et al. Outcomes of hip arthroscopy in patients aged 50 years or older compared with a matched-pair control of patients aged 30 years or younger. Arthroscopy 2015; 31 (02) 231-238
- 8 Bryan AJ, Krych AJ, Pareek A, Reardon PJ, Berardelli R, Levy BA. Are Short-term Outcomes of Hip Arthroscopy in Patients 55 Years and Older Inferior to Those in Younger Patients?. Am J Sports Med 2016; 44 (10) 2526-2530
- 9 Aguilera-Bohorquez B, Gil E, Fonseca J, Fernandez M, Sánchez M. Tenosuspension of the Reflected Head of the Rectus Femoris in Hip Arthroscopy: Description of a Portal and a Surgical Maneuver. Arthrosc Tech 2017; 6 (04) e1015-e1019
- 10 Ganz R, Parvizi J, Beck M, Leunig M, Nötzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res 2003; (417) 112-120
- 11 Javed A, O'Donnell JM. Arthroscopic femoral osteochondroplasty for cam femoroacetabular impingement in patients over 60 years of age. J Bone Joint Surg Br 2011; 93 (03) 326-331
- 12 Redmond JM, Gupta A, Cregar WM, Hammarstedt JE, Gui C, Domb BG. Arthroscopic Treatment of Labral Tears in Patients Aged 60 Years or Older. Arthroscopy 2015; 31 (10) 1921-1927
- 13 Mardones R, Via AG, Rivera A. et al. Arthroscopic treatment of femoroacetabular impingement in patients older than 60 years. Muscles Ligaments Tendons J 2016; 6 (03) 397-401
- 14 McCormick F, Nwachukwu BU, Alpaugh K, Martin SD. Predictors of hip arthroscopy outcomes for labral tears at minimum 2-year follow-up: the influence of age and arthritis. Arthroscopy 2012; 28 (10) 1359-1364
- 15 Horner NS, Ekhtiari S, Simunovic N, Safran MR, Philippon MJ, Ayeni OR. Hip Arthroscopy in Patients Age 40 or Older: A Systematic Review. Arthroscopy 2017; 33 (02) 464-475.e3
- 16 Byrd JWT, Jones KS. Prospective analysis of hip arthroscopy with 10-year followup. Clin Orthop Relat Res 2010; 468 (03) 741-746
- 17 Menge TJ, Briggs KK, Dornan GJ, McNamara SC, Philippon MJ. Survivorship and Outcomes 10 Years Following Hip Arthroscopy for Femoroacetabular Impingement: Labral Debridement Compared with Labral Repair. J Bone Joint Surg Am 2017; 99 (12) 997-1004
- 18 Degen RM, Pan TJ, Chang B. et al. Risk of failure of primary hip arthroscopy-a population-based study. J Hip Preserv Surg 2017; 4 (03) 214-223