The interface between periacetabular osteotomy, hip arthroscopy and total hip arthroplasty in the young adult hip
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The interface between periacetabular osteotomy, hip arthroscopy and total hip arthroplasty in the young adult hip. / Jakobsen, Stig Storgaard; Overgaard, Søren; Søballe, Kjeld; Ovesen, Ole; Mygind-Klavsen, Bjarne; Dippmann, Christian Andreas; Jensen, Michael Ulrich; Stürup, Jens; Retpen, Jens.
I: EFORT Open Reviews, Bind 3, Nr. 7, 01.07.2018, s. 408-417.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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T1 - The interface between periacetabular osteotomy, hip arthroscopy and total hip arthroplasty in the young adult hip
AU - Jakobsen, Stig Storgaard
AU - Overgaard, Søren
AU - Søballe, Kjeld
AU - Ovesen, Ole
AU - Mygind-Klavsen, Bjarne
AU - Dippmann, Christian Andreas
AU - Jensen, Michael Ulrich
AU - Stürup, Jens
AU - Retpen, Jens
PY - 2018/7/1
Y1 - 2018/7/1
N2 - ▪ Hip pain is highly prevalent in both the younger and the elderly population. In older patients, pain arising from osteoarthritis (OA) is most frequent, whereas in younger patients, non-degenerative diseases are more often the cause of pain. The pain may be caused by hip dysplasia and femoroacetabular impingement (FAI). ▪ Abnormal mechanics of the hip are hypothesized by some authors to cause up to 80% of OA in the hip. Therefore, correction of these abnormalities is of obvious importance when treating young patients with hip pain. ▪ Hip dysplasia can be diagnosed by measuring a CE angle < 25° on a plain standing radiograph of the pelvis. ▪ Dysplastic or retroverted acetabulum with significant symptoms should receive a periacetabular osteotomy (PAO). ▪ FAI with significant symptoms should be treated by adequate resection and, if necessary, labrum surgery. ▪ If risk factors for poor outcome of joint-preserving surgery are present (age > 45 to 50 years, presence of OA, joint space < 3 mm or reduced range of motion), the patient should be offered a total hip arthroplasty (THA) instead of PAO. ▪ THA can be performed following PAO with outcomes similar to a primary THA. ▪ Hip arthroscopy is indicated in FAI (cam and pincer) and/ or for labral tears.
AB - ▪ Hip pain is highly prevalent in both the younger and the elderly population. In older patients, pain arising from osteoarthritis (OA) is most frequent, whereas in younger patients, non-degenerative diseases are more often the cause of pain. The pain may be caused by hip dysplasia and femoroacetabular impingement (FAI). ▪ Abnormal mechanics of the hip are hypothesized by some authors to cause up to 80% of OA in the hip. Therefore, correction of these abnormalities is of obvious importance when treating young patients with hip pain. ▪ Hip dysplasia can be diagnosed by measuring a CE angle < 25° on a plain standing radiograph of the pelvis. ▪ Dysplastic or retroverted acetabulum with significant symptoms should receive a periacetabular osteotomy (PAO). ▪ FAI with significant symptoms should be treated by adequate resection and, if necessary, labrum surgery. ▪ If risk factors for poor outcome of joint-preserving surgery are present (age > 45 to 50 years, presence of OA, joint space < 3 mm or reduced range of motion), the patient should be offered a total hip arthroplasty (THA) instead of PAO. ▪ THA can be performed following PAO with outcomes similar to a primary THA. ▪ Hip arthroscopy is indicated in FAI (cam and pincer) and/ or for labral tears.
U2 - 10.1302/2058-5241.3.170042
DO - 10.1302/2058-5241.3.170042
M3 - Journal article
C2 - 30233816
AN - SCOPUS:85052549263
VL - 3
SP - 408
EP - 417
JO - EFORT Open Reviews
JF - EFORT Open Reviews
SN - 2396-7544
IS - 7
ER -
ID: 252055483