Hip arthroscopy versus total hip arthroplasty —A study on patients with obesity above 40 years of age

SummaryPatients older than 40  years with a body-mass-index (BMI)>30  kg/m2, a femoroacetabular-impingement (FAI) and little cartilage damage are a challenge for hip surgeons. Hip-arthroscopy (HAS) or conservative therapy until a total hip arthroplasty (THA) is needed are possible treatments. Our research purpose was to compare the clinical results and complication/reoperation rate after HAS and THA in patients with obesity over 40  years. This retrospective study includes a consecutive series of patients with obesity (BMI>30  kg/m2) who underwent HAS (19 hips) and THA (37 hips) over 40  years of age between 2007 and 2013 at our institution with a minimum of 12-months follow-up. Outcome measures were WOMAC (Western Ontario und McMaster Universities Arthritis Index), subjective-hip-value (SHV), residual complaints and the reoperation rate. Patient data and scores were collected pr e-operative, 12 months post-operatively and at the last follow-up. Both groups showed a comparable age (mean 48 years). Regarding SHV-Scores the THA-group shows continuous significant improvements. Reaching 87% (range 50%–100%), the HAS-group showed in case of the SHV no significant change aft er 1 year and an improvement from preoperative to the last follow-up reaching 72% (range 30%–100%) at the last follow-up. Residual groin pain was significant higher in the HAS-group. Two deep infections (5.4%) requiring reoperations were reported in the THA-group. The conversion rate t...
Source: Clinical Obesity - Category: Eating Disorders & Weight Management Authors: Tags: ORIGINAL RESEARCH Source Type: research