DOS Kongressen 2014 ·
205
DHAR – 1-year results of Hip Arthroscopy in
Adolescents
Bent Lund, Søren Winge, Otto Kraemer, Torsten Grønbech Nielsen,
Martin Carøe Lind
Dept. of Orthopedics, Horsens Regional Hospital; Copenhagen Private Hospital,
; Dept. of Orthopaedics, Arthroscopic Center of Amager; Orthopedics, Aarhus
University Hospital
Background:
CAM and Pincer FAI leads to early on-set of degenerative arthri-
tis and even in the very young this morphology and symptomatology is seen.
Studies have shown that FAI can be seen radiologically from the early teenage
years and it seems that it is caused by physeal injury. Treatment of symptomatic
FAI is important to prevent the early on-set of osteoarthritis.
Purpose / Aim of Study:
We present registry data of young FAI patients from
DHAR and the early outcomes based on PROM’s (Patients Related Outcome
Measures).
Materials and Methods:
Radiology data, indications and operative procedures
are registered. These are CE- angle, Alfa angle, labral and cartilage surgery, CAM
and Pincer surgery, OR- and traction time. (PROM) preoperatively and 1year
follow-up. PROM’S used: pain at rest, pain at activity, iHOT12, HAGOS. We
present a sub-group of < 19 year patients from the registry.
Findings / Results:
Data from 18 patients < 19 year and 1 year PROM data.
5 males and 13 females. Mean OR-time 75 minutes and mean traction time
57 minutes. Mean CE-angle 32,5 (26-57) and mean Alfa-angle 62 (43-87).
Cartilage damage was seen in 13 patients and ICRS classification grade II in 7
patients and III in 6 patients. 14 patients had the labrum reinserted. Mean 3 su-
ture anchors. The depth of resection for CAM was recorded (mean 4 mm’s) and
extent of rim-trimming was 3 mm. 5 patients had a psoas tenotomy. All patients
had antibiotic prophylaxis. No perioperative complications. All patients had sig-
nificant improvements in iHOT12 and HAGOS scores at 1 year. NRS scores also
improved significantly.
Conclusions:
1 year PROM data show promising early outcomes in these young
patients. In the future larger patient numbers and follow-up data will hopefully
improve indications and patient selection for hip arthroscopy procedures.
152.
