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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
COMPLEX SURGERY:SPECIFIC TECHNIQUES CURRENT TRENDS IN MODERN HIP SURGERY TRENDS AND REAL INNOVATIONS IN THE 1° IMPLANT
Minerva Ortopedica e Traumatologica 2006 August;57(4):297-303
Indications for hip arthroscopy revie-wed in the light of the first 150 cases
Schiraldi M., Stennardo G., Bertorello A.
Azienda Ospedaliera Nazionale di Alessandria S.O.C. di Ortopedia e Traumatologia, Alessandria
Aim. Hip arthroscopy is currently held to be a minimally invasive procedure that permits the evaluation and treatment of many interarticular pathologies of the hip and those not infrequent situations in which, although pain seems to originate from the joint, diagnostic studies are inconclusive. In such cases, arthroscopy represents a valid alternative to open surgery requiring wide incisions and longer periods of rehabilitation.
Methods. A total of 156 hip arthroscopies performed over the past 9 years by the same operator (MS) were reviewed.
Results. Although all patients recovered with significant improvement, the duration of the improvement was related to the presence or absence of mechanical symptoms and inversely proportional to the severity of the degenerative damage. Complications were rare or transient.
Conclusions. Based on the authors’ experience and the published data, potential candidates for hip arthroscopy include patients under 50 years of age presenting with interarticular hip pain, with mechanical characteristics of 6 months duration or longer and recalcitrant to physical therapy. History taking will often disclose acute or repeated trauma to the hip joint.