지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 102 - 109 (8page)
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초록· 키워드
오류제보하기
Purpose: Hip arthroscopy has been considered for treating hip dysplasia; however, its efficacy is still a matter of controversy. Here, we report outcomes of patients with borderline dysplasia treated with a contemporary hip arthroscopy technique. Materials and Methods: Forty-seven hips with borderline hip dysplasia were treated using hip arthroscopy. Patients underwent procedures to correct torn labrums or ligamentum teres with additional procedure on the acetabular capsule. Patient outcomes were assessed using visual analogue scale (VAS), modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS) and patient satisfaction. Risk factors for poor prognosis were also investigated. Results: The mean follow up period was 25.9 months. At the last follow up, mean VAS score decreased from 6.1±1.6 to 3.5±2.8 (P=0.016). The mHHS and NHAS at the last follow up improved from 61.0±7.6 to 78.6±19.5 (P=0.001) and 62.1±7.5 to 80.0±18.5 (P=0.002), respectively. While significant improvement was observed in all patient reported outcome measures tested, 19 (40.4%) hips indicated that “the operation was unsatisfactory.” The only factor shown to influence outcomes was preoperative VAS (i.e., worse scores potentially an indicator of poor outcomes). Conclusion: The results of the current study indicate that arthroscopic management may be beneficial for a subset of patients with borderline dysplasia; however, the dissatisfaction rate associated with this treatment approach may be as high as 40%. The poor preoperative pain score appears to be the sole indicator for poor outcomes.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Jo S / 2016 / The role of arthroscopy in the dysplastic hip-a systematic review of the intra-articular findings, and the outcomes utilizing hip arthroscopic surgery / J Hip Preserv Surg 3:171~180
Yeung M / 2016 / Hip arthroscopy in the setting of hip dysplasia : a systematic review / Bone Joint Res 5:225~231
Murphy SB / 1995 / The prognosis in untreated dysplasia of the hip. A study of radiographic factors that predict the outcome / J Bone Joint Surg Am 77:985~989
Nunley RM / 2011 / Clinical presentation of symptomatic acetabular dysplasia in skeletally mature patients / J Bone Joint Surg Am 93(Suppl 2):17~21
Tönnis D / 1976 / Normal values of the hip joint for the evaluation of X-rays in children and adults / Clin Orthop Relat Res (119):39~47
Yeung M / 2016 / Hip arthroscopy in the setting of hip dysplasia : a systematic review / Bone Joint Res 5:225~231
Murphy SB / 1995 / The prognosis in untreated dysplasia of the hip. A study of radiographic factors that predict the outcome / J Bone Joint Surg Am 77:985~989
Nunley RM / 2011 / Clinical presentation of symptomatic acetabular dysplasia in skeletally mature patients / J Bone Joint Surg Am 93(Suppl 2):17~21
Tönnis D / 1976 / Normal values of the hip joint for the evaluation of X-rays in children and adults / Clin Orthop Relat Res (119):39~47
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