The interface between periacetabular osteotomy, hip arthroscopy and total hip arthroplasty in the young adult hip

Stig Storgaard Jakobsen*, Søren Overgaard, Kjeld Søballe, Ole Ovesen, Bjarne Mygind-Klavsen, Christian Andreas Dippmann, Michael Ulrich Jensen, Jens Stürup, Jens Retpen

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Publikation: Bidrag til tidsskriftReviewForskningpeer review

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Resumé

▪ 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.

OriginalsprogEngelsk
TidsskriftEFORT Open Reviews
Vol/bind3
Udgave nummer7
Sider (fra-til)408-417
ISSN2396-7544
DOI
StatusUdgivet - 1. jul. 2018

Fingeraftryk

Hip
Young Adult
Femoracetabular Impingement
Hip Dislocation
Hip Osteoarthritis
Mechanics
Joints
Population

Citer dette

Jakobsen, Stig Storgaard ; Overgaard, Søren ; Søballe, Kjeld ; Ovesen, Ole ; Mygind-Klavsen, Bjarne ; Dippmann, Christian Andreas ; Jensen, Michael Ulrich ; Stürup, Jens ; Retpen, Jens. / The interface between periacetabular osteotomy, hip arthroscopy and total hip arthroplasty in the young adult hip. I: EFORT Open Reviews. 2018 ; Bind 3, Nr. 7. s. 408-417.
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abstract = "▪ 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.",
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Jakobsen, SS, Overgaard, S, Søballe, K, Ovesen, O, Mygind-Klavsen, B, Dippmann, CA, Jensen, MU, Stürup, J & Retpen, J 2018, 'The interface between periacetabular osteotomy, hip arthroscopy and total hip arthroplasty in the young adult hip', EFORT Open Reviews, bind 3, nr. 7, s. 408-417. https://doi.org/10.1302/2058-5241.3.170042

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 tidsskriftReviewForskningpeer review

TY - JOUR

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.

KW - Developmental dysplasia of the hip

KW - Femoroacetabular impingement

KW - Hip arthroscopy

KW - PAO

KW - Secondary osteoarthritis of the hip

U2 - 10.1302/2058-5241.3.170042

DO - 10.1302/2058-5241.3.170042

M3 - Review

C2 - 30233816

AN - SCOPUS:85052549263

VL - 3

SP - 408

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JO - EFORT Open Reviews

JF - EFORT Open Reviews

SN - 2058-5241

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