Functional outcome improvement and surgical time reduction in a single-surgeon consecutive case series of hip arthroscopy for femoroacetabular impingement: A minimum 5 years follow-up study.

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Tác giả: Edoardo Angeletti, Andrea Burla, Francesco Castagnini, Filippo Caternicchia, Valentina Fantoni, Mattia D Rosa, Irene Tampieri, Enrico Tassinari, Stefano Zaffagnini

Ngôn ngữ: eng

Ký hiệu phân loại: 594.38 *Pulmonata

Thông tin xuất bản: United States : Journal of experimental orthopaedics , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 61026

PURPOSE: The learning curve of a single surgeon performing hip arthroscopy is reported to be steep, but, to date, the inflection point after which procedures are more successful is still unknown. The aim of this study was to design a learning curve focused on clinical outcomes, complications and revision/conversion rates. METHODS: Seventy-one hip arthroscopies performed for femoroacetabular impingement (FAI) by a single surgeon, with a minimum follow-up of 5 years, were considered. Demographics, intraarticular findings and operative and traction time were detailed. HOOS score, subjective outcomes, 30-day complication rates, complication rates, revision arthroscopies and conversions to hip arthroplasty were recorded. RESULTS: The mean follow-up was 7.5 ± 1.8 years (range: 5-11). The progression of the learning curve implied a reduction in surgical time ( CONCLUSIONS: The inflection point of the hip arthroscopy learning curve is between 25/36 procedures. The first arthroscopies were impacted by higher complications and lower clinical results but no higher rates of revision and conversion to arthroplasty. LEVEL OF EVIDENCE: Level IV.
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