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Archives of Orthopaedic and Trauma Surgery

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16-12-2023 | Hip Arthroscopy | Arthroscopy and Sports Medicine

Injections prior to hip arthroscopy are associated with increased risk of repeat hip arthroscopy at 1 and 5 years

Authors: Andrea H. Johnson, Jane C. Brennan, Alyssa Maley, Sandra B. Levermore, Justin J. Turcotte, Benjamin M. Petre

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 2/2024

Abstract

Introduction

Previous studies have shown that intra-articular hip injections prior to hip arthroscopy (HA) can be a helpful diagnostic tool. However, local anesthetic and corticosteroid injections can be chondrotoxic and corticosteroid injections have been shown to increase the risk of infection during subsequent surgical intervention. The purpose of this study was to evaluate whether preoperative injections adversely affect outcomes of HA using a national database.

Materials and methods

The TriNetX database was retrospectively queried. Patients undergoing HA for femoroacetabular impingement with at least 1 year of claims runout were included in the analysis. Patients were grouped by whether they had a hip injection within 1 year prior to HA. The rates of repeat HA, total hip arthroplasty (THA), infection, osteonecrosis, and new onset hip OA at 1- and 5-years postoperatively were compared between groups. Statistical significance was assessed at α = 0.05.

Results

6511 HA patients with previous injection and 1178 HA patients without previous injection were included. Patients with a previous injection were overall younger (32.3 vs. 34.7 years, p < 0.001), more likely to be female (69 vs. 48%, p < 0.001) and had a higher BMI (26.3 vs. 25.7 kg/m², p = 0.043). At 1 and 5-years postoperatively, patients with any injection were 1.43 (p < 0.001) and 1.89 (p < 0.001) times more likely to undergo repeat HA, respectively. At 1 and 5-years postoperatively, patients who underwent a corticosteroid injection were 2.29 (p < 0.001) and 1.89 (p < 0.001) times more likely to undergo repeat HA than patients with local anesthetic injection only and 1.56 (p < 0.001) and 2.08 (p < 0.001) times more likely to undergo repeat HA than patients with no injection.

Conclusions

Intraarticular hip injections prior to hip arthroscopy, particularly corticosteroid injections, are associated with increased risk of repeat hip arthroscopy at 1 and 5 years. Additional studies are needed to elucidate this risk.

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Title: Injections prior to hip arthroscopy are associated with increased risk of repeat hip arthroscopy at 1 and 5 years
Authors: Andrea H. Johnson
Jane C. Brennan
Alyssa Maley
Sandra B. Levermore
Justin J. Turcotte
Benjamin M. Petre
Publication date: 16-12-2023
Publisher: Springer Berlin Heidelberg
Keywords: Hip Arthroscopy
Hip-TEP
Hip-TEP
Osteonecrosis
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 2/2024
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-023-05164-7

At a glance: The STEP trials

Springer Medicine

Injections prior to hip arthroscopy are associated with increased risk of repeat hip arthroscopy at 1 and 5 years

Abstract

Introduction

Materials and methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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