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CC BY 4.0 · Surg J (N Y) 2021; 07(04): e374-e380
DOI: 10.1055/s-0041-1741512
Review Article

Prognostic Factors for Conversion to Arthroplasty after Hip Arthroscopy. Review of the Literature

Roberto Seijas
1   Instituto Cugat Hospital Fundació García Cugat Quiron, Barcelona, Spain
2   Fundació García Cugat, Garcia, Cugat
3   Medicine Department, Universitat Internacional de Catalunya, Barcelona, Spain
,
David Barastegui
1   Instituto Cugat Hospital Fundació García Cugat Quiron, Barcelona, Spain
2   Fundació García Cugat, Garcia, Cugat
3   Medicine Department, Universitat Internacional de Catalunya, Barcelona, Spain
4   Mutualitat Catalana de Futbolistas (FCF)—Real Federación Española de Futbol, Madrid, Spain
,
Ferran Montaña
1   Instituto Cugat Hospital Fundació García Cugat Quiron, Barcelona, Spain
3   Medicine Department, Universitat Internacional de Catalunya, Barcelona, Spain
,
Marta Rius
1   Instituto Cugat Hospital Fundació García Cugat Quiron, Barcelona, Spain
2   Fundació García Cugat, Garcia, Cugat
4   Mutualitat Catalana de Futbolistas (FCF)—Real Federación Española de Futbol, Madrid, Spain
,
Xavier Cuscó
1   Instituto Cugat Hospital Fundació García Cugat Quiron, Barcelona, Spain
2   Fundació García Cugat, Garcia, Cugat
,
Ramón Cugat
1   Instituto Cugat Hospital Fundació García Cugat Quiron, Barcelona, Spain
2   Fundació García Cugat, Garcia, Cugat
4   Mutualitat Catalana de Futbolistas (FCF)—Real Federación Española de Futbol, Madrid, Spain
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Abstract

Arthroscopic techniques in the treatment of femoroacetabular impingement have experienced an exponential increase over recent years for both diagnosis and treatment. The main risks with treatment are poor clinical outcomes and the conversion to prosthesis. Better knowledge and understanding of the various risk factors leading to prosthesis will improve patient selection for arthroscopic treatments rendering better results. The published papers that have been selected are related to series of hip arthroscopies with risk factors that lead to total hip arthroplasty (THA), in the PubMed database, without a time limit, number of patients, or follow-up time. We selected over 302 papers, 19 papers that show risk factors for conversion to THA. The main risk factors found were femoral chondropathy grade III/IV (relative risk 58.1–12 times increased), acetabular (20–2.96 times), an articular space <2 mm (39–4.26 times), age (14.6–1.06 times), Tönnis 2 in radiographic studies (7.73–3.1 times), obesity (5.6–2.3 times), and osteoarthritis (4.6–2.4 times). There are several risk factors which in an isolated way, highly increase the risk of THA. Some of them have a clear relationship (chondropathy, reduced joint space, Tönnis 2, and osteoarthritis). Based on the review we observed that the elements that are most associated with a conversion to THA after a hip arthroscopy are a high degree of femoral and acetabular chondropathy, a reduced joint space below 2 mm, older age, Tönnis 2, obesity, and hip osteoarthritis.

Keywords

hip arthroscopy - prognostic - prognostic factor - total hip replacement - conversion - arthroplasty


Publication History

Received: 23 February 2020

Accepted: 13 January 2021

Article published online:
30 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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