Role of Hip Arthroscopy in the Treatment of Avascular Necrosis of the Hip: A Systematic Review
محل انتشار: مجله استخوان و جراحی عمومی، دوره: 10، شماره: 6
سال انتشار: 1401
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 151
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شناسه ملی سند علمی:
JR_TABO-10-6_002
تاریخ نمایه سازی: 21 خرداد 1401
چکیده مقاله:
Background: Avascular necrosis (AVN) or osteonecrosis of the femoral head occurs as a result of a vascular supply disruption that could lead to hip osteoarthritis. Recently, several joint-preserving procedures have been suggested to improve the outcome of AVN, including hip arthroscopy. This systematic review aimed to investigate the role of hip arthroscopy to preserve hip joints suffering from AVN.Methods: This review was conducted to collect data on hip arthroscopy from the available literature for the management of AVN. The collected articles included those that were focused mainly on the management of AVN assisted by arthroscopy and published up to ۲۰۲۰ that were searched in four databases using such keywords as “Avascular Necrosis”, “AVN”, and “Osteonecrosis” in combination with “Hip Arthroscopy” or “Arthroscopic Hip Surgery”. Results: In total, ۱۳ articles met the eligibility criteria, and no severe complications were reported after arthroscopy in patients with AVN. Moreover, the Harris scores were higher than ۷۹ after the operation. The majority of the assessments showed that the use of arthroscopy was effective in the diagnosis and treatment of patients with AVN, except for one study, which had been performed on patients with stage IV AVN. Conclusion: The findings supported the idea that hip arthroscopy is effective in the treatment of AVN. This approach is becoming more popular for the diagnosis and treatment of hip disorders.Level of evidence: I
کلیدواژه ها:
نویسندگان
Omid Shahpari
Orthopedic Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
S.M. Javad Mortazavi
Tehran University of Medical Sciences, Tehran, Iran
Mohammad H. Ebrahimzadeh
Orthopedic Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Alireza Mousavian
Orthopedic Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran