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Benefits of a Postoperative Hip Orthosis After Routine Arthroscopy of the Hip: A Retrospective Cohort Study.
- Source :
- Orthopaedic Journal of Sports Medicine; Nov2023, Vol. 11 Issue 11, p1-9, 9p
- Publication Year :
- 2023
-
Abstract
- Background: No consensus currently exists among orthopaedic surgeons regarding the benefits of hip orthosis after routine hip arthroscopy. Purpose: To compare patient-reported outcome measures (PROMs) and reoperation rates between patients who were braced versus those who were not braced after routine hip arthroscopy. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective review was conducted of 193 patients who underwent hip arthroscopy for femoroacetabular impingement (FAI) from January 1, 2018, to December 31, 2021, by 2 orthopedic surgeons at a single institution. Patients before July 1, 2019, were immobilized in a hip orthosis after hip arthroscopy (braced group; n = 101), whereas those after July 1, 2019, were not (nonbraced group; n = 92). Baseline PROMs (visual analog scale for pain, modified Harris Hip Score, Single Assessment Numeric Evaluation, and Veterans Rand 12-Item Health Survey [VR-12] Physical Component Summary and Mental Component Summary) were obtained for all patients and were repeated postoperatively at 2 weeks, 4 weeks, 3 months, 6 months, 1 year, and 2 years. The study groups were compared to evaluate differences in PROMs over time and 2-year postoperative reoperation rates. Group comparisons were also stratified by patient sex. Results: There were no significant differences on any PROM between the braced and nonbraced cohorts at any timepoint. There were also no significant group differences in reoperation rates, with 8 braced patients (7.9%) undergoing reoperation and 1 nonbraced patient (2.3%) undergoing reoperation (P =.208). In the sex-stratified analyses, nonbraced male patients had significantly higher VAS pain and lower VR-12 Mental Component Summary scores at 6 months postoperatively compared with braced male patients (P =.043 and.026, respectively). Conclusion: The study findings suggested that the use of an orthosis after routine hip arthroscopy for FAI does not improve patient-reported outcomes or negatively affect the 2-year reoperation rate. Postoperative bracing increases perioperative cost, and by foregoing routine bracing, patients may avoid the morbidity associated with wearing a brace for a prolonged period. [ABSTRACT FROM AUTHOR]
- Subjects :
- FEMORACETABULAR impingement
ARTHROSCOPY
HEALTH outcome assessment
RETROSPECTIVE studies
ACQUISITION of data
MANN Whitney U Test
TREATMENT effectiveness
POSTOPERATIVE period
REOPERATION
MEDICAL records
DESCRIPTIVE statistics
CHI-squared test
STATISTICAL hypothesis testing
QUESTIONNAIRES
DATA analysis software
FOOT orthoses
LONGITUDINAL method
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 23259671
- Volume :
- 11
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- Orthopaedic Journal of Sports Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 173949150
- Full Text :
- https://doi.org/10.1177/23259671231212503