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Experiences in hip arthroscopic complication treatment and prevention: An analysis of 521 cases
摘要
Introduction: Hip arthroscopic surgery is an effective and innovative procedure; its indications have rapidly increased, and it has become an established technique for the treatment of many intra- and extra- articular conditions affecting the hip. Purpose: We reported our experience in 521 consecutive hip arthroscopy procedures and its complications at the authors' hospital over the past 15 years. Methods: Five hundred and twenty-one patients (521 hips) with severe hip pain were enrolled in this retrospective study. The average age of the patients was 42 years (range, 18-77 years). The surgical indications for hip arthroscopy included 433 labral tears, 335 femoral acetabular impingement, 16 synovitis, 5 loose body, 24 chondral lesions, 6 chondromatosis, 10 ligament teres tears, 12 dysplastic hip, and 2 avascular necrosis of the femoral head. Intraoperative and postoperative arthroscopic complications were recorded and retrospectively analyzed. Results: There were a total of 27 (5%) intraoperative and postoperative complications. The instrument breakage happened in 3 of 521 (0.5%) patients and received complete removal during surgery. Three (0.5%) patients had femoral head chondral and labral injuries, which did not negatively impact the patients' outcomes. Three (0.5%) patients had scrotum or vulva skin damage due to traction complications, which healed within 1-2 months after surgery. Four (0.7%) patients had superficial infections of the surgical wounds and treated by oral antibiotic with wound cares, and all infections completely healed within 1-2 weeks. One (0.2%) patient had wound dehiscence, which was treated and resolved by sutures. Five (0.9%) patients had hip adhesion and achieved complete recovery after aggressive rehabilitation within 2-6 months. One (0.2%) patient had heterotrophic ossification, and no functional limitations were noted. Seven (1.3%) patients had transient neuropraxia of the pudendal nerve and achieved complete recovery within 2 days to 4 months after surgery. There were no major neurovascular complications directly associated with hip arthroscopy and no deep infections in any of the patients at the final follow-up examination. Conclusion: When surgeons have experience performing the technique properly and good hip arthroscopic instrumentation, hip arthroscopy can be considered as a low-risk procedure.
延伸閱讀
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