Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Journal of Orthopaedic Surgery and Research
Published in: Journal of Orthopaedic Surgery and Research 1/2017

Open Access 01-12-2017 | Research article

Clinical results of arthroscopic surgery in patients over 50 years of age—what viability does it have as a joint preservative surgery?

Authors: Mitsutoshi Moriya, Kensuke Fukushima, Katsufumi Uchiyama, Naonobu Takahira, Takeaki Yamamoto, Yojiro Minegishi, Masashi Takaso

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2017

Login to get access

Abstract

Background

To identify whether hip arthroscopy is a suitable option for treating hip pain in elderly patients and investigate the clinical outcomes of hip arthroscopic surgery for labrum tear and/or osteoarthritis in patients over 50 years of age.

Methods

Between August 2009 and May 2014, a series of 23 patients (6 men and 17 women) with a mean age of 59 years underwent arthroscopy. We retrospectively examined the clinical records, radiographs, and outcome questionnaires from all patients. The mean follow-up period was 28 months.

Results

The mean Japan Orthopedic Association hip score after surgery improved by a statistically significant amount. Eight patients (34.8%) were noted to have a progression of osteoarthritis (OA) diagnosed by radiograph, and one underwent THA after 13 months following arthroscopic surgery. The patients in which OA progression was noted were identified as having radiographical OA preoperatively and acetabular cartilage damage in the arthroscopic findings.

Conclusions

Arthroscopic surgery performed in selected patients over 50 years of age might be beneficial if classified as Tönnis grade 0 preoperatively and/or classified as Outerbridge grade II in the arthroscopic findings.
Literature
1.
Domb BG, Linder D, Finley Z, Botser IB, Chen A, Williamson J, Gupta A. Outcomes of hip arthroscopy in patients aged 50 years or older compared with a matched-pair control of patients aged 30 years or younger. Arthroscopy. 2015;31:231–8.CrossRefPubMed
2.
Harris JD, McCormick FM, Abrams GD, Gupta AK, Ellis TJ, Bach BR, Bush-Joseph GA, Nho SJ. Complications and reoperations during and after hip arthroscopy: a systematic review of 92 studies and more than 6,000 patients. Arthroscopy. 2013;29:589–5.CrossRefPubMed
3.
Philippon MJ, Schroder E, Souza BG, Bring KK. Hip arthroscopy for femoroacetabular impingement in patients aged 50 years or older. Arthroscopy. 2012;28:59–65.CrossRefPubMed
4.
Laude F, Sariali E, Nogier A. Femoroacetabular impingement treatment using arthroscopy and anterior approach. Clin Orthop Relat Res. 2009;467:747–52.CrossRefPubMed
5.
McCarthy JC, Jarrett BT, Ojeifo O, Lee JA, Bragdon CR. What factors influence long-term survivorship after hip arthroscopy? Clin Orthop Relat Res. 2010;469:362–71.CrossRefPubMedCentral
6.
7.
Domb BG, Stake CE, Lindner D, El-Bitar Y, Jackson TJ. Arthroscopic capsular plication and labral preservation in borderline hip dysplasia: two-year clinical outcomes of a surgical approach to a challenging problem. Am J Sports Med. 2013;41:2591–8.CrossRefPubMed
8.
Berry DJ, Harmsen WS, Cabanela ME, Morrey BF. Twenty-five-year survivorship of two thousand consecutive primary Charnley total hip replacements: factors affecting survivorship of acetabular and femoral components. J Bone Joint Surg Am. 2002;84-A:171–7.CrossRefPubMed
9.
Healy WL, Sharma S, Schwartz B, Iorio R. Athletic activity after total joint arthroplasty. J Bone Joint Surg Am. 2008;90-A:2245–52.CrossRef
10.
Tönnis D. Normal values of the hip joint for the evaluation of x-rays in children and adults. Clin Orthop Relat Res. 1976;39:47.
11.
Shima Y. Present status of surgical treatment of arthrosis deformans of the hip and summary of therapeutic evaluation] [in Japanese. Nippon Seikeigeka Gakkai Zasshi. 1971;45:828–31.PubMed
12.
Matsumoto T, Kaneuji A, Hiejima Y, Sugiyama H, Akiyama H, Atsumi T, Ishii M, Izumi K, Ichiseki T, Ito H, Okawa T, Ohzono K, Otsuka H, Kishida S, Kobayashi S, Sawaguchi T, Sugano N, Nakajima I, Nkamura S, Hasegawa Y, Fukuda K, Fujii G, Mawatari T, Mori S, Yasunaga Y, Yamaguchi M. Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ): a patient-based evaluation tool for hip-joint disease. The subcommittee on hip disease evaluation of the clinical outcome committee of the Japanese Orthopaedic Association. J Orthop Sci. 2012;17:25–38.CrossRefPubMed
13.
Outerbridge RE. The etiology of chondromalacia patellae. J Bone Joint Surg (Br). 1961;43:752–7.
14.
Redmond JM, Gupta A, Cregar WM, Hammarstedt JE, Gui C, Domb BG. Arthroscopic treatment of labral tears in patients aged 60 years or older. Arthroscopy. 2015;31:1921–7.CrossRefPubMed
15.
Javed A, O’Donnell JM. Arthroscopic femoral osteochondroplasty for cam femoroacetabular impingement in patients over 60 years of age. J Bone Joint Surg (Br). 2011;93-B:326–1.CrossRef
16.
Malviya A, Raza A, Jameson S, James P, Reed MR, Partington PF. Complication and survival analyses of hip arthroscopies performed in the National Health Service in England: A review of 6,395 cases. Arthroscopy. 2015;31:836–42.CrossRefPubMed
17.
Fujii M, Nakashima Y, Jingushi S, Yamamoto T, Noguchi Y, Suenaga E, Iwamoto Y. Intraarticular findings in symptomatic developmental dysplasia of the hip. J Pediatr Orthop. 2009;29:9–13.CrossRefPubMed
18.
Ellermann J, Ziegler C, Nissi MJ, Goebel R, Hughes J, Benson M, Holmberg P, Morgan P. Acetabular cartilage assessment in patients with femoroacetabular impingement by using T2 mapping with arthroscopic verification. Radiology. 2014;271:512–23.CrossRefPubMed
19.
Girard J, Glorion C, Bonnomet F, Fron D, Migaud H. Risk factors for revision of hip arthroplasties in patients younger than 30 years. Clin Orthop Relat Res. 2011;469:1141–7.CrossRefPubMed
20.
Wang TI, Hung SH, Su YP, Feng CQ, Chiu FY, Liu CL. Noncemented total hip arthroplasty for osteonecrosis of the femoral head in elderly patients. Orthopedics. 2013;36-3:271–5.CrossRef
21.
Eitzen I, Fernandes L, Kallerud H, Nordsletten L, Knarr B, Risberg MA. Gait characteristics, symptoms, and function in persons with hip osteoarthritis: a longitudinal study with 6 to 7 years of follow-up. J Orthop Sports Phys Ther. 2015;45:539–49.CrossRefPubMed
22.
Teirlincky CH, Luijsterburg PAJ, Dekker J, Bohnen AM, Verhaar JAN, Koopmanschap MA, Es PP, Koes BW, Bierma-Zeinstra SMA. Effectiveness of exercise therapy added to general practitioner care in patients with hip osteoarthritis: a pragmatic randomized controlled trial. Osteoarthritis Cartilage. 2016;24:82–90.CrossRef
23.
Baigent C, Coxib and traditional NSAID Trialists' (CNT) Collaboration, Bhala N, Emberson J, Merhi A, Abramson S, Arber N, Baron JA, Bombardier C, Cannon C, Farkouh ME, FitzGerald GA, Goss P, Halls H, Hawk E, Hawkey C, Hennekens C, Hochberg M, Holland LE, Kearney PM, Laine L, Lanas A, Lance P, Laupacis A, Oates J, Patrono C, Schnitzer TJ, Solomon S, Tugwell P, Wilson K, Wittes J. Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials. Lancet. 2013;382:769–79.CrossRefPubMed
24.
Emkey R, Rosenthal N, Wu SC, Jordan D, Kamin M. Efficacy and safety of tramadol/acetaminophen tablets (Ultracet) as add-on therapy for osteoarthritis pain in subjects receiving a COX-2 nonsteroidal antiinflammatory drug: a multicenter, randomized, double-blind, placebo-controlled trial. J Rheumatology. 2004;31:150–6.
25.
Malonne H, Coffiner M, Sonet B, Sereno A, Vanderbist F. Efficacy and tolerability of sustained-release tramadol in the treatment of symptomatic osteoarthritis of the hip or knee: a multicenter, randomized, double-blind, placebo-controlled study. Clin Ther. 2004;26:1774–82.CrossRefPubMed
26.
Rudisill TM, Zhu M, Davidov D, Leann Long D, Sambamoorthi U, Abate M, Delagarza V. Medication use and the risk of motor vehicle collision in West Virginia drivers 65 years of age and older: a case-crossover study. BMC Res Notes. 2016;9:166.CrossRefPubMedPubMedCentral
27.
Yasunaga Y, Ochi M, Terayama H, Tanaka R, Yamasaki T, Ishii Y. Rotational acetabular osteotomy for advanced osteoarthritis secondary to dysplasia of the hip. J Bone Joint Surg Am. 2006;88:1915–9.PubMed
28.
Teratani T, Naito M, Kiyama T, Maeyama A. Periacetabular osteotomy in patients fifty years of age or older. J Bone Joint Surg Am. 2010;92:31–41.CrossRefPubMed
29.
Ohishi M, Nakashima Y, Yamamoto T, Motomura G, Fukushi J, Hamai S, Kohno Y, Iwamoto Y. Cementless total hip arthroplasty for patients previously treated with femoral osteotomy for hip dysplasia: the incidence of periprosthetic fracture. Int Orthop 2015;online.
30.
Byrd JW, Jones KS. Hip arthroscopy for labral pathology: prospective analysis with 10-year follow-up. Arthroscopy. 2009;25:365–8.CrossRefPubMed
31.
Farjo LA, Glick JM, Sampson TG. Hip arthroscopy for acetabular labral tears. Arthroscopy. 1999;15:132–7.CrossRefPubMed
32.
Gupta A, Redmond JM, Hammarstedt JE, Schwindel L, Domb BG. Safety measures in hip arthroscopy and their efficacy in minimizing complications: a systematic review of the evidence. Arthroscopy. 2014;30:1342–8.CrossRefPubMed
33.
Cook RE, Jenkins PJ, Walmsley PJ, Patton JT, Robinson CM. Risk factors for periprosthetic fractures of the hip: a survivorship analysis. Clin Orthop Relat Res. 2008;466:1652–6.CrossRefPubMedPubMedCentral
Metadata
Title
Clinical results of arthroscopic surgery in patients over 50 years of age—what viability does it have as a joint preservative surgery?
Authors
Mitsutoshi Moriya
Kensuke Fukushima
Katsufumi Uchiyama
Naonobu Takahira
Takeaki Yamamoto
Yojiro Minegishi
Masashi Takaso
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2017
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-016-0504-9

Other articles of this Issue 1/2017

Journal of Orthopaedic Surgery and Research 1/2017 Go to the issue

Research article

Trajectory of instantaneous axis of rotation in fixed lumbar spine with instrumentation

Research article

Results of 167 consecutive cases of acetabular fractures using the Kocher-Langenbeck approach: a case series

Research article

Quality of life and clinical-radiological long-term results after implant-associated infections in patients with ankle fracture: a retrospective matched-pair study

Research article

Primary single suture anchor re-fixation of anterior cruciate ligament proximal avulsion tears leads to good functional mid-term results: a preliminary study in 12 patients

Research article

Minimally invasive unilateral pedicle screws and a translaminar facet screw fixation and interbody fusion for treatment of single-segment lower lumbar vertebral disease: surgical technique and preliminary clinical results

Research article

Influence of tourniquet use in primary total knee arthroplasty with drainage: a prospective randomised controlled trial