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Meta-Analysis
. 2020 Jul 17;99(29):e21246.
doi: 10.1097/MD.0000000000021246.

Influence of prior hip arthroscopy on outcomes after hip arthroplasty: A meta-analysis of matched control studies

Jiankuo Guo  1 , Dongmei Dou  2
Affiliations
Meta-Analysis

Influence of prior hip arthroscopy on outcomes after hip arthroplasty: A meta-analysis of matched control studies

Jiankuo Guo et al. Medicine (Baltimore). .

Abstract

Background: No meta-analysis exists elucidate the impact of prior hip arthroscopy on the outcomes of subsequent hip arthroplasty. The purpose of this study was to systematically review the current evidence in the literature to ascertain if prior hip arthroscopy leads to inferior outcomes after hip arthroplasty.

Methods: PUBMED, Scopus, EMBASE, and Cochrane Library databases were searched on May 20, 2019. Only English publications were included. The primary outcomes were postoperative complication, revision, and reoperation. Secondary outcomes included Harris Hip Score (HHS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), operative time, and estimated blood loss.

Results: Eleven studies with a total of 1227 patients were included. The pooled data revealed that patients with prior hip arthroscopy were associated with higher risks for any postoperative complication (P < .00001), dislocation (P = .03), revision (P = .03), and reoperation (P = .02) following subsequent hip arthroplasty. However, there were no significant differences in infection rate (P = .22), HHS (P = .09), WOMAC (P = .19), operative time (P = .52), and estimated blood loss (P = .17) between the groups.

Conclusions: Patients with prior hip arthroscopy are at increased risks for any postoperative complication, dislocation, revision, and reoperation following subsequent hip arthroplasty. However, prior hip arthroscopy does not appear to have an impact on the functional outcomes and intraoperative outcomes.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
PRISMA Flow diagram describing the selection process for relevant clinical trials used in this meta-analysis.
Figure 2
Figure 2
(A) Forest plots of the any postoperative complication between arthroscopy group and control group after hip arthroplasty; (B) Forest plots of the dislocation between arthroscopy group and control group after hip arthroplasty; (C) Forest plots of the infection between arthroscopy group and control group after hip arthroplasty.
Figure 3
Figure 3
(A) Forest plots of the revision between arthroscopy group and control group after hip arthroplasty; (B) Forest plots of the reoperation between arthroscopy group and control group after hip arthroplasty.
Figure 4
Figure 4
(A) Forest plots of the HHS between arthroscopy group and control group after hip arthroplasty; (B) Forest plots of the WOMAC between arthroscopy group and control group after hip arthroplasty.
Figure 5
Figure 5
(A) Forest plots of the operative time between arthroscopy group and control group after hip arthroplasty; (B) Forest plots of the estimated blood loss between arthroscopy group and control group after hip arthroplasty.
Figure 6
Figure 6
(A) Funnel plot of publication bias for the any postoperative complication between arthroscopy group and control group after hip arthroplasty; (B) Funnel plot of publication bias for the revision between arthroscopy group and control group after hip arthroplasty; (C). Funnel plot of publication bias for the reoperation between arthroscopy group and control group after hip arthroplasty.
See this image and copyright information in PMC

References

    1. Bozic KJ, Chan V, Valone FH, et al. Trends in hip arthroscopy utilization in the United States. J Arthroplasty 2013;28: 8 Suppl: 140–3. - PubMed
    1. Botser IB, Smith TW, Jr, Nasser R, et al. Open surgical dislocation versus arthroscopy for femoroacetabular impingement: a comparison of clinical outcomes. Arthroscopy 2011;27:270–8. - PubMed
    1. McCormick F, Nwachukwu BU, Alpaugh K, et al. Predictors of hip arthroscopy outcomes for labral tears at minimum 2-year follow-up: the influence of age and arthritis. Arthroscopy 2012;28:1359–64. - PubMed
    1. Skendzel JG, Philippon MJ, Briggs KK, et al. The effect of joint space on midterm outcomes after arthroscopic hip surgery for femoroacetabular impingement. Am J Sports Med 2014;42:1127–33. - PubMed
    1. Montgomery SR, Ngo SS, Hobson T, et al. Trends and demographics in hip arthroscopy in the United States. Arthroscopy 2013;29:661–5. - PubMed