Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Jun;10(6):480-489.
doi: 10.22038/ABJS.2021.58534.2894.

Role of Hip Arthroscopy in the Treatment of Avascular Necrosis of the Hip: A Systematic Review

Omid Shahpari  1 , Javad Mortazavi  2 , Mohammad H Ebrahimzadeh  1 , Farshid Bagheri  1 , Alireza Mousavian  1
Affiliations
Review

Role of Hip Arthroscopy in the Treatment of Avascular Necrosis of the Hip: A Systematic Review

Omid Shahpari et al. Arch Bone Jt Surg. 2022 Jun.

Abstract

Background: Avascular necrosis (AVN) or osteonecrosis of the femoral head occurs as a result of a vascular supply disruption that could lead to hip osteoarthritis. Recently, several joint-preserving procedures have been suggested to improve the outcome of AVN, including hip arthroscopy. This systematic review aimed to investigate the role of hip arthroscopy to preserve hip joints suffering from AVN.

Methods: This review was conducted to collect data on hip arthroscopy from the available literature for the management of AVN. The collected articles included those that were focused mainly on the management of AVN assisted by arthroscopy and published up to 2020 that were searched in four databases using such keywords as "Avascular Necrosis", "AVN", and "Osteonecrosis" in combination with "Hip Arthroscopy" or "Arthroscopic Hip Surgery".

Results: In total, 13 articles met the eligibility criteria, and no severe complications were reported after arthroscopy in patients with AVN. Moreover, the Harris scores were higher than 79 after the operation. The majority of the assessments showed that the use of arthroscopy was effective in the diagnosis and treatment of patients with AVN, except for one study, which had been performed on patients with stage IV AVN.

Conclusion: The findings supported the idea that hip arthroscopy is effective in the treatment of AVN. This approach is becoming more popular for the diagnosis and treatment of hip disorders.

Keywords: Avascular necrosis of femoral head; Hip arthroscopy; Ischemic bone necrosis; Osteonecrosis.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflict of interest regarding the publication of this study.

Figures

Figure 1
Figure 1
PRISMA flowchart representing the study selection process
Figure 2
Figure 2
Quality assessment of the studies included in the review
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Liang MH, Cullen KE, Larson MG, Thompson MS, Schwartz JA, Fossel AH, et al. Cost-effectiveness of total joint arthroplasty in osteoarthritis. Arthritis Rheum. 1986 Aug;29(8):937–43. - PubMed
    1. Jonsson B, Larsson SE. Functional improvement and costs of hip and knee arthroplasty in destructive rheumatoid arthritis. Scand J Rheumatol. 1991;20(5):351–7. - PubMed
    1. Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007 Apr;89(4):780–5. - PubMed
    1. Della Valle CJ, Mesko NW, Quigley L, Rosenberg AG, Jacobs JJ, Galante JO. Primary total hip arthroplasty with a porous-coated acetabular component A concise follow-up, at a minimum of twenty years, of previous reports. J Bone Joint Surg Am. 2009 May;91(5):1130–5. - PubMed
    1. Engh CA, Hopper RH, Engh CA. Long-term porous-coated cup survivorship using spikes, screws, and press-fitting for initial fixation. J Arthroplasty. 2004 Oct;19(7 Suppl 2):54–60. - PubMed

LinkOut - more resources