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Injections prior to hip arthroscopy are associated with increased risk of repeat hip arthroscopy at 1 and 5 years.
Johnson, Andrea H; Brennan, Jane C; Maley, Alyssa; Levermore, Sandra B; Turcotte, Justin J; Petre, Benjamin M.
Afiliação
  • Johnson AH; Orthopedic Research, Anne Arundel Medical Center, Annapolis, MD, USA.
  • Brennan JC; Orthopedic Research, Anne Arundel Medical Center, Annapolis, MD, USA.
  • Maley A; Orthopedic Surgery, Anne Arundel Medical Center, Annapolis, MD, USA.
  • Levermore SB; Orthopedic Surgery, Anne Arundel Medical Center, Annapolis, MD, USA.
  • Turcotte JJ; Orthopedic and Surgical Research, Anne Arundel Medical Center, 2000 Medical Parkway Suite 503, Annapolis, MD, 21401, USA. jturcotte@luminishealth.org.
  • Petre BM; Orthopedic Surgery, Anne Arundel Medical Center, Annapolis, MD, USA.
Arch Orthop Trauma Surg ; 144(2): 823-829, 2024 Feb.
Article em En | MEDLINE | ID: mdl-38103052
ABSTRACT

INTRODUCTION:

Previous studies have shown that intra-articular hip injections prior to hip arthroscopy (HA) can be a helpful diagnostic tool. However, local anesthetic and corticosteroid injections can be chondrotoxic and corticosteroid injections have been shown to increase the risk of infection during subsequent surgical intervention. The purpose of this study was to evaluate whether preoperative injections adversely affect outcomes of HA using a national database. MATERIALS AND

METHODS:

The TriNetX database was retrospectively queried. Patients undergoing HA for femoroacetabular impingement with at least 1 year of claims runout were included in the analysis. Patients were grouped by whether they had a hip injection within 1 year prior to HA. The rates of repeat HA, total hip arthroplasty (THA), infection, osteonecrosis, and new onset hip OA at 1- and 5-years postoperatively were compared between groups. Statistical significance was assessed at α = 0.05.

RESULTS:

6511 HA patients with previous injection and 1178 HA patients without previous injection were included. Patients with a previous injection were overall younger (32.3 vs. 34.7 years, p < 0.001), more likely to be female (69 vs. 48%, p < 0.001) and had a higher BMI (26.3 vs. 25.7 kg/m2, p = 0.043). At 1 and 5-years postoperatively, patients with any injection were 1.43 (p < 0.001) and 1.89 (p < 0.001) times more likely to undergo repeat HA, respectively. At 1 and 5-years postoperatively, patients who underwent a corticosteroid injection were 2.29 (p < 0.001) and 1.89 (p < 0.001) times more likely to undergo repeat HA than patients with local anesthetic injection only and 1.56 (p < 0.001) and 2.08 (p < 0.001) times more likely to undergo repeat HA than patients with no injection.

CONCLUSIONS:

Intraarticular hip injections prior to hip arthroscopy, particularly corticosteroid injections, are associated with increased risk of repeat hip arthroscopy at 1 and 5 years. Additional studies are needed to elucidate this risk.
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Texto completo: 1 Coleções: 01-internacional Temas: Geral Base de dados: MEDLINE Assunto principal: Impacto Femoroacetabular / Articulação do Quadril Limite: Female / Humans / Male Idioma: En Revista: Arch Orthop Trauma Surg Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Temas: Geral Base de dados: MEDLINE Assunto principal: Impacto Femoroacetabular / Articulação do Quadril Limite: Female / Humans / Male Idioma: En Revista: Arch Orthop Trauma Surg Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos