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· DOS Abstracts
Does a clinical algorithm improve the one year results
after hip arthroscopy with labral repair ?- a retrospec-
tive study
Christian Dippmann, Line Dahl, Torsten Warming, Michael Rindom Krogsgaard
Section for Sports Traumatology M51, Department of Orthopedic Surgery, ,
Bispebjerg Hospital, Denmark
Background:
Hip arthroscopy (HA) is indicated for symptomatic intraarticu-
lar pathologies of the hip, not related to hip dysplasia, acetabular retroversion
or osteoarthritis. Even though the underlying pathologies are different, clini-
cal symptoms are similar, and triaging these patients to the right treatment is
therefore challenging
Purpose / Aim of Study:
We aimed to evaluate, if a clinical decision algorithm
(CDA) for patients with hip pain could change treatment outcome. We hypoth-
esized that the algorithm would allow early and precise triage and thereby a
higher precision of correct treatment
Materials and Methods:
We implemented a CDA for patient selection in Janu-
ary 2015. 46 consecutive patients undergoing HA with labral repair one year
before (group A) and one year after (group B) implementation were evaluated
with Copenhagen Hip And Groin Score (HAGOS) before and 3 and 12 months
after surgery. Data were analyzed using a two-way repeated- measures ANOVA
test
Findings / Results:
There were 46 patients (24 males (M), 22 females (F)),
average age 35yr (M) and 37yr (F), of which 20 were in group A and 26 in
group B. There were no difference in HAGOS score (each domain) between the
two groups prior to surgery. Both groups showed significant improvement in all
subdomains of the HAGOS 3 and 12 months after surgery. The improvement
from 12 to 52 weeks in the domain Physical Activity was significantly higher in
group B compared to group A (p<0,00) and near-significant preoperatively to
52 weeks (p=0,052). However, when comparing the other domains, no signifi-
cant differences could be seen between groups after 12 months
Conclusions:
This retrospective case-control study support the hypothesis,
that a standardized clinical algorithm for patient selection for hip arthroscopy
with labral repair is an advantage for treatment outcome, probably due to better
patient selection
No conflicts of interest reported
98.