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  1. Article: Hip arthroscopy: Minimally invasive surgery for hip pathologies.

    Sood, Munish / Ghai, Amresh

    Medical journal, Armed Forces India

    2016  Volume 73, Issue 2, Page(s) 184–187

    Abstract: ... of musculoskeletal disorders. Hip arthroscopy is a new emerging technique for the management of hip pathologies and ... it has gained popularity in the past decade. In the present case series, 5 patients with hip pathologies ... were operated using hip arthroscopy technique and the functional outcome and complications associated ...

    Abstract Arthroscopy is considered as one of the revolutionary techniques in the management of musculoskeletal disorders. Hip arthroscopy is a new emerging technique for the management of hip pathologies and it has gained popularity in the past decade. In the present case series, 5 patients with hip pathologies were operated using hip arthroscopy technique and the functional outcome and complications associated with hip arthroscopy were assessed. Harris hip score improved significantly at the latest follow-up. No major complication was noticed in our case series. In conclusion, hip arthroscopy procedure requires good instrumentation and expertise. We believe that it is a safe and less invasive procedure providing an additional tool in the management of hip pathologies.
    Language English
    Publishing date 2016-10-27
    Publishing country India
    Document type Journal Article
    ZDB-ID 196342-9
    ISSN 0377-1237
    ISSN 0377-1237
    DOI 10.1016/j.mjafi.2016.09.005
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  2. Book: Early hip disorders

    McCarthy, Joseph C.

    advances in detection and minimally invasive treatment

    2003  

    Author's details Joseph C. McCarthy, ed
    Keywords Hip Joint / physiopathology ; Joint Diseases / diagnosis ; Joint Diseases / therapy ; Surgical Procedures, Minimally Invasive / methods ; Hüftgelenkkrankheit ; Diagnose ; Minimal-invasive Chirurgie ; Arthroskopie
    Subject Arthroendoskopie ; Gelenkspiegelung ; Hüftgelenk ; MIC ; Minimal invasive surgery ; Mikro-invasive Chirurgie ; Endoskopische Chirurgie ; Operative Endoskopie ; Chirurgische Endoskopie ; Therapeutische Endoskopie ; Video-assistierte Telechirurgie ; Schlüssellochchirurgie ; Knopflochchirurgie ; Less invasive surgery ; Ärztliche Diagnose
    Language English
    Size XII, 208 S. : Ill.
    Publisher Springer
    Publishing place New York u.a.
    Publishing country Germany
    Document type Book
    HBZ-ID HT013618266
    ISBN 0-387-98602-2 ; 978-0-387-98602-9
    Database Catalogue ZB MED Medicine, Health

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    Shelf markLoan statusLocation
    2003 A 989 order for loan Magazin

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  3. Article ; Online: Progression to total hip arthroplasty following hip arthroscopy.

    McCarthy, Brendon / Ackerman, Ilana N / de Steiger, Richard

    ANZ journal of surgery

    2018  

    Abstract: Background: Hip arthroscopy is a minimally invasive surgical technique increasingly being used ... may enable refinement of hip arthroscopy indications and more informed decision making. The aim of this study ... is to identify the proportion of patients in a hip arthroscopy cohort who progress to total hip ...

    Abstract Background: Hip arthroscopy is a minimally invasive surgical technique increasingly being used to treat hip pathology. There is evidence that a proportion of patients require total hip arthroplasty in the years immediately following arthroscopy, suggesting that these patients have derived only a limited benefit from the procedure. Identification of risk factors for early progression to hip arthroplasty may enable refinement of hip arthroscopy indications and more informed decision making. The aim of this study is to identify the proportion of patients in a hip arthroscopy cohort who progress to total hip arthroplasty within 2 years of arthroscopy, and to analyse risk factors for this early progression.
    Methods: A retrospective cohort analysis was conducted on all patients who underwent hip arthroscopy at one tertiary institution from 2004 to 2013. Hospital data were linked to the Australian Orthopaedic Association National Joint Replacement Registry in 2016 to identify subsequent hip arthroplasty.
    Results: There were 989 arthroscopies performed on 947 patients; 447 were female (48.1%), the mean age was 41.1 years (SD: 14.23) and osteoarthritis was present at arthroscopy in 31.5%. Total hip arthroplasty occurred in 129 patients (13%) within 2 years. Multivariable logistic regression revealed osteoarthritis, age >50 years and previous arthroscopy were significant risk factors for arthroplasty within 2 years (adjusted odds ratios (confidence intervals): 4.6 (2.91-7.16), 3.8 (2.44-5.87), 2.5 (1.16-5.81)).
    Conclusions: Osteoarthritis, older age and history of arthroscopy were independent risk factors for early progression to arthroplasty; these factors should be considered within clinical decision-making, and when discussing potential arthroscopy outcomes with patients.
    Language English
    Publishing date 2018-05-24
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1111/ans.14672
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  4. Article ; Online: A CT-free protocol to treat osteoid osteoma of the hip region in childhood and adolescence by percutaneous drilling and by hip arthroscopy.

    Eberhardt, Oliver / von Kalle, Thekla / Matthis, Rebecca / Doepner, Richard / Wirth, Thomas / Fernandez, Francisco

    Hip international : the journal of clinical and experimental research on hip pathology and therapy

    2021  Volume 32, Issue 6, Page(s) 792–799

    Abstract: ... the minimally invasive hip arthroscopy represent an alternative to CT-guided radiofrequency ablation ... in the treatment of osteoid osteomas. Radiation exposure can thereby be significantly reduced. Hip arthroscopy ... we report on a minimally-invasive concept for treating osteoid osteomas near the hip joint in children and ...

    Abstract Introduction: It is often difficult to clinically and radiologically diagnose intra-articular osteoid osteomas and osteoid osteomas of the hip joint. Treatment can also be difficult due to complex locational relationships. CT-guided radiofrequency ablation is currently the standard form of treatment.In this paper we report on a minimally-invasive concept for treating osteoid osteomas near the hip joint in children and adolescents which does not involve using computed tomography.
    Material and method: 10 patients with an average age of 12.1 years underwent treatment for osteoid osteomas in the hip joint region. The diagnosis was made using a contrast-enhanced MRI. The osteoid osteomas were marked percutaneously using x-ray and MRI guidance. MRI-guided drilling/curettage was performed in 4 cases and arthroscopic resection in 6 cases.
    Results: All lesions were successfully treated using the MRI-guided method. All patients were free of pain after the treatment. There was no instance of recurrence during the follow-up period, which averaged 10 months. The effective dose for marking the lesion was between 0.0186 mSv and 0.342 mSV (mean 0.084 mSV).
    Conclusions: Our MRI diagnostics protocol, the MRI-guided drilling and the minimally invasive hip arthroscopy represent an alternative to CT-guided radiofrequency ablation in the treatment of osteoid osteomas. Radiation exposure can thereby be significantly reduced. Hip arthroscopy can also be used to treat secondary pathologies such as femoroacetabular impingement.
    MeSH term(s) Child ; Adolescent ; Humans ; Osteoma, Osteoid/diagnostic imaging ; Osteoma, Osteoid/surgery ; Arthroscopy/methods ; Bone Neoplasms/diagnostic imaging ; Bone Neoplasms/surgery ; Arthroplasty, Replacement, Hip ; Hip/surgery ; Treatment Outcome
    Language English
    Publishing date 2021-03-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1162513-2
    ISSN 1724-6067 ; 1120-7000
    ISSN (online) 1724-6067
    ISSN 1120-7000
    DOI 10.1177/1120700021996269
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  5. Article ; Online: PREHAB FAI- Prehabilitation for patients undergoing arthroscopic hip surgery for Femoroacetabular Impingement Syndrome -Protocol for an assessor blinded randomised controlled feasibility study.

    Punnoose, Anuj / Claydon-Mueller, Leica / Rushton, Alison / Khanduja, Vikas

    PloS one

    2024  Volume 19, Issue 4, Page(s) e0301194

    Abstract: ... procedures. Procedures such as hip arthroscopy have rapidly grown and become the standard of care ... of prehabilitation in patients with FAI syndrome undergoing hip arthroscopy has received little attention.: Aim ... undergoing hip arthroscopy. This study will provide important preliminary data to inform feasibility ...

    Abstract Background: The past decade has seen an exponential growth of minimally invasive surgical procedures. Procedures such as hip arthroscopy have rapidly grown and become the standard of care for patients with Femoroacetabular Impingement Syndrome (FAIS). Although, the results of such procedures are encouraging, a large proportion of patients do not achieve optimal outcomes due to chronicity and deconditioning as a result of delay in diagnosis and increased waiting times amongst other factors. In a recent systematic review and meta-analysis of randomised control trials, moderate certainty evidence supported prehabilitation over standard care in optimising several domains including muscle strength, pain and health related quality of life in patients undergoing orthopaedic surgical interventions. However, the role of prehabilitation in patients with FAI syndrome undergoing hip arthroscopy has received little attention.
    Aim: To evaluate the feasibility, suitability, acceptability and safety of a prehabilitation programme for FAI to inform a future definitive randomised control trial to assess effectiveness.
    Methods: A systematically developed prehabilitation intervention based on a literature review and international consensus will be utilised in this study. A mixed methodology encompassing a two-arm randomised parallel study alongside an embedded qualitative component will be used to answer the study objectives. Patients will be recruited from a tertiary referral NHS centre for young adult hip pathology in the UK. Patient reported outcomes such as iHOT-12, Brief Pain Inventory Scale (Short form), Hospital Anxiety and Depression Scale and Patient Global Impression of Change score will be obtained alongside objective measurements such as Muscle Strength and Star Excursion Balance Test at various time points. Outcome measures will be obtained at baseline (prior to prehabilitation intervention), after prehabilitation before surgery, and at 6 weeks+/- 4 weeks and 6 months +/- 4 weeks (planned primary endpoint for definitive RCT) postoperatively when participants attend the research site for clinical care and remotely at 12 months +/- 4 weeks postoperatively. Mean change and 95% CI, and effect size of outcome measures will be used to determine the sample size for a future RCT. For the qualitative component, in depth face-to-face semi-structured interviews with physiotherapists and focus groups with participants will be conducted to assess the feasibility, suitability, and acceptability of the prehabilitation intervention using a predetermined success criteria. All qualitative data will be recorded, transcribed verbatim and thematically analysed.
    Discussion: This study will be first of its kind to evaluate a systematically developed prehabilitation intervention for patients with FAIS undergoing hip arthroscopy. This study will provide important preliminary data to inform feasibility of a definitive RCT in the future to evaluate effectiveness of a prehabilitation intervention.
    Trial registration: ISRCTN 15371248, 09/03/2023.
    Trial protocol: Version 2.3, 26th June 2023.
    MeSH term(s) Young Adult ; Humans ; Femoracetabular Impingement/surgery ; Feasibility Studies ; Arthroscopy/methods ; Quality of Life ; Preoperative Exercise ; Treatment Outcome ; Pain ; Review Literature as Topic
    Language English
    Publishing date 2024-04-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0301194
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  6. Article ; Online: Indications for Hip Arthroscopy.

    Ross, James R / Larson, Christopher M / Bedi, Asheesh

    Sports health

    2017  Volume 9, Issue 5, Page(s) 402–413

    Abstract: Context: Hip arthroscopy is gaining popularity within the field of orthopaedic surgery ... arthroscopy is a minimally invasive procedure that may offer decreased morbidity, diminished risk ... in improved access to the hip joint and ability to treat various hip pathologies.: Evidence acquisition ...

    Abstract Context: Hip arthroscopy is gaining popularity within the field of orthopaedic surgery. The development and innovation of hip-specific arthroscopic instrumentation and improved techniques has resulted in improved access to the hip joint and ability to treat various hip pathologies.
    Evidence acquisition: Electronic databases, including PubMed and MEDLINE, were queried for articles relating to hip arthroscopy indications (1930-2017).
    Study design: Clinical review.
    Level of evidence: Level 4.
    Results: Initially used as a technique for loose body removal, drainage/debridement of septic arthritis, and treatment of pediatric hip disorders, hip arthroscopy is currently used to treat various hip conditions. The recognition of femoroacetabular impingement (FAI) as a source of hip pain in young adults has rapidly expanded hip arthroscopy by applying the principles of osseous correction that were previously described and demonstrated via an open surgical dislocation approach. Hip pathologies can be divided into central compartment, peripheral compartment, peritrochanteric space, and subgluteal space disorders.
    Conclusion: Although hip arthroscopy is a minimally invasive procedure that may offer decreased morbidity, diminished risk of neurovascular injury, and shorter recovery periods compared with traditional open exposures to the hip, it is important to understand the appropriate patient selection and indications.
    MeSH term(s) Arthritis, Infectious/surgery ; Arthroscopy/instrumentation ; Arthroscopy/methods ; Cartilage, Articular/injuries ; Cartilage, Articular/surgery ; Contraindications ; Femoracetabular Impingement/surgery ; Hip Injuries/surgery ; Hip Joint/surgery ; Humans ; Joint Loose Bodies/surgery ; Ligaments, Articular/injuries ; Ligaments, Articular/surgery ; Osteoarthritis, Hip/surgery ; Patient Selection ; Synovectomy ; Synovial Membrane/injuries ; Tendons/surgery
    Language English
    Publishing date 2017-07-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2508802-6
    ISSN 1941-0921 ; 1941-7381
    ISSN (online) 1941-0921
    ISSN 1941-7381
    DOI 10.1177/1941738117712675
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  7. Article: The Expanding Role of Hip Arthroscopy in Modern Day Practice.

    Massa, Edward / Kavarthapu, Venu

    Indian journal of orthopaedics

    2019  Volume 53, Issue 1, Page(s) 8–14

    Abstract: ... will outline the evolution of hip arthroscopy, the pathology of hip conditions, what it has been used for and ... Over the past decade, hip arthroscopy has become increasingly popular in managing hip conditions ... indications for hip arthroscopy to be extended to a range of conditions. However, the need for special ...

    Abstract Over the past decade, hip arthroscopy has become increasingly popular in managing hip conditions in a minimally invasive approach. The development of specialist equipment and training in this field has allowed indications for hip arthroscopy to be extended to a range of conditions. However, the need for special equipment and training has also limited the use of hip arthroscopy to specialized centers. This article will outline the evolution of hip arthroscopy, the pathology of hip conditions, what it has been used for and how this technique has now been extended to help manage these conditions in a minimally invasive approach, limiting the complications of open surgery.
    Language English
    Publishing date 2019-03-21
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 603194-8
    ISSN 0019-5413
    ISSN 0019-5413
    DOI 10.4103/ortho.IJOrtho_12_18
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  8. Article ; Online: Removal of a Periarticular Cyst of the Hip Joint Using an Ultrasoundbased Minimally Invasive Technique - A Case Report.

    Konarski, Wojciech / Poboży, Tomasz

    Current medical imaging

    2022  Volume 18, Issue 11, Page(s) 1226–1230

    Abstract: ... a potential need for open surgery. We used ultrasound-based minimally invasive arthroscopy technique. A 39 ... The acetabular labral tear was treated with a classic arthroscopy procedure. 5 weeks after the surgery ... ultrasound diagnostic technique can save patients from more invasive procedures and can be beneficial ...

    Abstract Introduction: Cystic lesions protruding into surrounding anatomical structures may decrease quality of life.
    Case presentation: In our case, the cyst was located periarticularly which indicated a potential need for open surgery. We used ultrasound-based minimally invasive arthroscopy technique. A 39-year-oldwoman's ultrasonographic examination revealed delamination of the acetabular labrum and periarticular cyst located extra-articularly, compressing the iliopsoas muscle. The ultrasound-guided complete removal of the cyst was performed using a shaver blade placed into its lumen through the skin incision. The acetabular labral tear was treated with a classic arthroscopy procedure. 5 weeks after the surgery, the patient reported no pain and no functional impairment was detected.
    Conclusion: A well-known ultrasound diagnostic technique can save patients from more invasive procedures and can be beneficial for the surgeons.
    MeSH term(s) Acetabulum/pathology ; Acetabulum/surgery ; Adult ; Arthroscopy/methods ; Cysts/diagnostic imaging ; Cysts/pathology ; Cysts/surgery ; Hip Joint/diagnostic imaging ; Hip Joint/surgery ; Humans ; Quality of Life
    Language English
    Publishing date 2022-04-17
    Publishing country United Arab Emirates
    Document type Case Reports
    ISSN 1573-4056
    ISSN (online) 1573-4056
    DOI 10.2174/1573405618666220415125416
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  9. Article ; Online: Hip arthroscopy for Legg-Calvè-Perthes disease in paediatric population.

    Kanatli, Ulunay / Ayanoglu, Tacettin / Ozer, Mustafa / Ataoglu, Muhammet Baybars / Cetinkaya, Mehmet

    Acta orthopaedica et traumatologica turcica

    2019  Volume 53, Issue 3, Page(s) 203–208

    Abstract: ... to LCPD. It is thought that hip arthroscopy, a minimally invasive procedure, may have an important role ... of the children who underwent hip arthroscopy because of Legg-Calve-Perthes Disease (LCPD).: Methods ... an increase in the functional results and life quality of the patients who underwent hip arthroscopy due ...

    Abstract Objective: The aim of this study was to represent the findings and long-term clinical results of the children who underwent hip arthroscopy because of Legg-Calve-Perthes Disease (LCPD).
    Methods: This study included the retrospective findings of ten patients (mean age: 12.7 ± 2.75; range 7-16 years) who underwent arthroscopic hip debridement between 2010 and 2016 for LCPD disease. All of the patients underwent arthroscopic excision of the unstable osteochondral fragment following unsuccessful conservative treatment. In the statistical analysis, age, side, follow-up, Stulberg and Waldenström classification, preoperative and postoperative modified Harris Hip Score (mHHS) were evaluated.
    Results: The mean follow-up period was 55.4 ± 13.05 months (range: 40-72 months). There was no statistically significant association between good postoperative results and age, side, and the stage of the disease (p > 0.05). However, there was a significant difference between preoperative and postoperative mHHS (p = 0.005).
    Conclusion: This study demonstrates an increase in the functional results and life quality of the patients who underwent hip arthroscopy due to LCPD. It is thought that hip arthroscopy, a minimally invasive procedure, may have an important role in the algorithm of LCPD treatment, especially in patients with severe pain and mechanical symptoms.
    Level of evidence: Level IV, therapeutic study.
    MeSH term(s) Adolescent ; Arthroscopy/adverse effects ; Arthroscopy/methods ; Child ; Debridement/methods ; Female ; Femur Head/pathology ; Femur Head/surgery ; Follow-Up Studies ; Humans ; Legg-Calve-Perthes Disease/diagnosis ; Legg-Calve-Perthes Disease/physiopathology ; Legg-Calve-Perthes Disease/surgery ; Male ; Outcome and Process Assessment (Health Care) ; Patient Acuity ; Postoperative Complications/diagnosis ; Research Design ; Retrospective Studies ; Risk Factors ; Symptom Assessment/methods ; Turkey
    Language English
    Publishing date 2019-04-04
    Publishing country Turkey
    Document type Journal Article
    ISSN 2589-1294
    ISSN (online) 2589-1294
    DOI 10.1016/j.aott.2019.03.005
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  10. Article ; Online: Hip arthroscopy: Indications, outcomes and complications.

    Jamil, Mujahid / Dandachli, Wael / Noordin, Shahryar / Witt, Johan

    International journal of surgery (London, England)

    2017  Volume 54, Issue Pt B, Page(s) 341–344

    Abstract: ... arthroscopy. Surgeons are now able to address pathology in and around the hip joint that was ... trochanteric space. Minimally invasive surgery is now performed for diagnoses as well as treatment of a variety ... Hip arthroscopy has recently occupied an important place in the armamentarium of General Orthopedic ...

    Abstract Hip arthroscopy has recently occupied an important place in the armamentarium of General Orthopedic and especially hip surgeons. It is an effective and innovative procedure with rapidly expanding indications. Advancements in surgical tools and refinement in techniques has revolutionalized modern Hip arthroscopy. Surgeons are now able to address pathology in and around the hip joint that was either misdiagnosed or poorly understood. The procedure allows detailed visualization of acetabular labrum, femoral and acetabular chondral surfaces, fovea, ligamentum teres, synovium and the extra-articular peri-trochanteric space. Minimally invasive surgery is now performed for diagnoses as well as treatment of a variety of Hip disorders. The acceptance and rates of hip arthroscopy are increasing across the board and the associated literature is expanding every day. Increasing surgical experience and improving technology is contributing for more advanced procedures to become popularized, however long-term outcome data about hip arthroscopy is still relatively sparse. We aim to review hip arthroscopy in the light of recent literature and will discuss the current indications, outcomes and complications of the procedure.
    MeSH term(s) Arthroscopy/adverse effects ; Arthroscopy/methods ; Arthroscopy/trends ; Hip Joint/surgery ; Humans ; Treatment Outcome
    Language English
    Publishing date 2017-08-18
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2017.08.557
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