12.
Early results after hip arthroscopy with labral repair in children and
adolescents
Christian Dippmann, Christoffer Hegemann, Otto Kraemer, Søren Winge
orthopedic department Hvidovre University Hospital; , Copenhagen Private
Hospital; orthopedic department, Hvidovre University Hospital; , Copenhagen
Private Hospital
Background:
Femero-acetabular impingement (FAI), is also being recognized
in the pediatric age group. Although widely accepted in the treatment of such
pathologies, hip arthroscopy has a steep learing curve and especially in the
pediatric and adolescent patient complications can have serious consequences.
Purpose / Aim of Study:
The purpose of this study was to report the outcome
after hip arthroscopy with labral repair in children and adolescent patients
within the first year after surgery.
Materials and Methods:
From March 2009 to February 2011 8 patients
(
mean age 15,4 (range 13- 18)), 2M and 6F underwent hip arthroscopy with
labral repair at Copenhagen Private Hospital by one of the senior authors
(
SW). Preop. all patients received physiotherapeutic training for at least 6
months. Self- reported questionnaires such as Hip Outcome Score sport (HOS-
sport), Hip Outcome Score ADL (HOS-ADL), modified Harris Hip Score
(
mHHS) and a Visual Analogue Score (VAS) for pain were used as evaluation
tool. Patients completed all four instruments pre-op., 6 and 12 months post-op.
Postoperatively the patients received non-standardized rehabilitation for at
least 3 months. One patient had previously been treated for hip pathologies.
Findings / Results:
Significant clinical improvements were seen for all
outcome measures within the first 6 months (p < 0,001), with no significant
changes from 6 to 12 months. The VAS pain score improved from mean 52
(
range 36-65) to mean 5 (range 0-19) at 6 months, respectively mean 7 (range
0-21)
at 12 months.
Conclusions:
Hip arthroscopy in children and adolescents provide as
promising results as described in the literature for active, non-arthritic adults.
At 6 months after surgery we could see clinically relevant improvements in all
out-come scores. These results are promising, but lacking long term results,
further investigation is needed.
