Is arthroscopic hip surgery beneficial for patients undergoing Peri-Acetabular Osteotomy (PAO)

Long term outcome of peri-acetabular osteotomy and the efficacy of Arthroscopic surgery prior to the index procedure

Status

Completed

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12612001262897

Acronym

nil

Enrollment

Registered

2012-12-03

Start date

2012-06-01

Completion date

Unknown

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

We aim to evaluate the importance of arthroscopy prior to the osteotomy procedure. This is to supply the surgeon with additional valuable pre-operative data which will establish a better treatment strategy. We will then evaluate patient outcomes following these two procedures. This kind of osteotomy surgery aims to address an uncommon entity - mild hip dysplasia. Evaluation of this unique operation and its outcomes in this type of patient population will be invaluable in further improving patient care. Key research questions: 1. Does PAO carry good long-term outcomes. 2. Is hip arthroscopy considered as a adjunctive procedure prior to PAO

Interventions

This retrospective study aims to evaluate long term outcome of patients who underwent hip arthroscopy prior to peri-acetabular osteotomy (PAO) surgery. The study involves reviewing patient files and operating notes with a subsequent phone call or a follow up visit (as per normal scheduled patient follow-up post surgery), if possible, to evaluate current patient status. Participants for this study are located/recruited from clinic patient files from the date range 2001 to 2008.

Eligibility

Sex/Gender

All

Age

20 Years to 65 Years

Healthy volunteers

Inclusion criteria

a. Male or female patients aged between 20-65 b. Healthy patients undergoing hip Arthroscopy due to painful hip arthroplasty c. No other influential disabilities in lower limbs d. No chronic use of NSAID, analgesics, steroids or chemotherapy drugs e. Base line activity level - Tegner 3 and above

Exclusion criteria

a. Patients with concomitant disease, that may affect joints b. Patients with major ligamentous laxity c. Patients which have undergone only minor vertical capsulotomy (pincer only lesions) d. Patients with extreme ROM needs (such as ballet dancers) e. Patients suffering from connective tissue disease f. Patients suffering from bilateral symptomatic FAI operated for their first hip g. Patients with relative or proved displastic hip determined by CE angle and/or extreme version abnormalities as measured on apical CT/MR cuts and pelvic XR h. Adjuvant required surgical procedure to common cam FAI surgery (such as IP release) i. Patients whom their cartilage hip status was define as advanced OA, during surgery, or patients which, following surgery, would be instructed to avoid full weight bearing on the operated hip for more than 4 weeks j. Concomitant use of PRP or TA during the surgical procedure

Outcome results