Eyal Amar1, Yaniv Warschawski2, Thomas G Sampson3, Ehud Atoun4, Ely L Steinberg2, Ehud Rath2. 1. Department of Orthopedics, Sackler Faculty of Medicine, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel. Electronic address: eyalamar73@gmail.com. 2. Department of Orthopedics, Sackler Faculty of Medicine, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel. 3. Department of Hip Arthroscopy, Post Street Orthopaedics and Sports Medicine, San Francisco, California, U.S.A. 4. Barzilai Medical Center Campus, Faculty of Health Sciences, Ben-Gurion University, Ashkelon, Israel.
Abstract
PURPOSE: The purpose of this study was to evaluate the role of capsular closure after hip arthroscopy in reduction of the incidence of heterotopic ossification (HO). METHODS: One hundred (50 study group, 50 control group) consecutive hip arthroscopy procedures with radiographic follow-up of more than 9 weeks were included in the study. The study group consisted of 50 patients in whom capsular closure with 2 No. 1 polydioxanone (PDS) sutures was performed, and a control group consisted of 50 patients in whom the capsule remained open after capsulotomy. HO was assessed by radiographs using the Brooker classification. Statistical analysis of the data was carried out with the χ-square or Fisher exact test and Student t test, when appropriate, at a significance level of .05. RESULTS: Thirty-six (36%) patients had radiographic evidence of postoperative HO (14 patients in the capsular closure group). No significant difference was found regarding sex, side of operation, age, or HO rate between the study and the control groups (P = .778, P = .123, P = .744, and P = .144, respectively). Furthermore, no significant difference was found in the rate of HO with potential clinical significance (Brooker classification > I) between the control and study groups (P = .764). CONCLUSIONS: Capsular closure did not seem to alter the rate of HO when compared with a control group of patients in whom the capsulotomy was not repaired. LEVEL OF EVIDENCE: Level III, retrospective comparative study.
PURPOSE: The purpose of this study was to evaluate the role of capsular closure after hip arthroscopy in reduction of the incidence of heterotopic ossification (HO). METHODS: One hundred (50 study group, 50 control group) consecutive hip arthroscopy procedures with radiographic follow-up of more than 9 weeks were included in the study. The study group consisted of 50 patients in whom capsular closure with 2 No. 1 polydioxanone (PDS) sutures was performed, and a control group consisted of 50 patients in whom the capsule remained open after capsulotomy. HO was assessed by radiographs using the Brooker classification. Statistical analysis of the data was carried out with the χ-square or Fisher exact test and Student t test, when appropriate, at a significance level of .05. RESULTS: Thirty-six (36%) patients had radiographic evidence of postoperative HO (14 patients in the capsular closure group). No significant difference was found regarding sex, side of operation, age, or HO rate between the study and the control groups (P = .778, P = .123, P = .744, and P = .144, respectively). Furthermore, no significant difference was found in the rate of HO with potential clinical significance (Brooker classification > I) between the control and study groups (P = .764). CONCLUSIONS: Capsular closure did not seem to alter the rate of HO when compared with a control group of patients in whom the capsulotomy was not repaired. LEVEL OF EVIDENCE: Level III, retrospective comparative study.
Authors: Edward C Beck; Gregory L Cvetanovich; David M Levy; Alexander E Weber; Benjamin D Kuhns; Mahmoud M Khair; Jonathan Rasio; Shane J Nho Journal: J Hip Preserv Surg Date: 2019-11-23
Authors: Seper Ekhtiari; Darren de Sa; Chloe E Haldane; Nicole Simunovic; Christopher M Larson; Marc R Safran; Olufemi R Ayeni Journal: Knee Surg Sports Traumatol Arthrosc Date: 2017-01-24 Impact factor: 4.342
Authors: Ran Atzmon; Zachary T Sharfman; Barak Haviv; Michal Frankl; Gilad Rotem; Eyal Amar; Michael Drexler; Ehud Rath Journal: J Hip Preserv Surg Date: 2019-07-04