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Current concept of hip arthroscopy in patients with osteoarthritis: is it effective as a hip preservation surgery?
Arthrosc Orthop Sports Med 2024;11:1-5
Published online May 1, 2024;  https://doi.org/10.14517/aosm24002
© 2024 Korean Arthroscopy Society and Korean Orthopedic Society for Sports Medicine.

Jae Hyeok Cheon, Chan Young Lee, Kyung-Soon Park

Department of Orthopedic Surgery, Center for Joint Disease, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Hwasun, Korea
Correspondence to: Kyung-Soon Park, https://orcid.org/0000-0002-5036-1803
Department of Orthopedic Surgery, Center for Joint Disease, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, 322 Seoyang-ro, Hwasun-eup, Hwasun 58128, Korea. Tel: +82-62-379-7676, Fax: +82-62-379-7681, E-mail: chiasma@hanmail.net
Received April 6, 2024; Revised April 12, 2024; Accepted April 12, 2024.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Hip osteoarthritis (OA) poses as challenge in determining the efficacy and indications for hip arthroscopy. Although joint-preserving procedures are commonly employed for low-grade OA, such as OA accompanying femoroacetabular impingement or labral tear accompanying dysplasia, an optimal management strategy has not yet been established. Studies have reported varied outcomes after hip arthroscopy in patients with OA, with some reporting higher rates of total hip arthroplasty conversion, emphasizing the importance of patient selection. Factors such as the Tönnis grade, joint space narrowing, age, and impingement type have been implicated as prognostic indicators. However, evidence regarding the effectiveness of arthroscopy for higher-grade OA remains conflicting. Labral management in OA is complex, with limited research on optimal treatment strategies. The scarcity of prospective studies and conflicting results underscore the need for further research to establish clearer guidelines on hip arthroscopy for OA.
Keywords : Hip osteoarthritis; Arthroscopy; Femoroacetabular impingement
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May 2024, 11 (1)