Outcomes and Complications of Arthroscopic Treatment for Septic Arthritis of the Hip: A Systematic Review

Objectives: The exact role and safety of arthroscopy in SAH management remain contentious. This systematic review aims to assess the outcomes and complications of arthroscopic treatment, shedding light on its efficacy and safety profile.Methods: Following PRISMA guidelines, searches were conducted in PubMed, Scopus, Embase, and Web of Science until January ۲۵, ۲۰۲۴. Eligible studies included SAH patients undergoing arthroscopic treatment. Data extraction covered demographics, clinical findings, and functional outcomes. Quality assessment used NIH case series assessment and Newcastle-Ottawa Scale. Quantitative analysis focused on Hip Harris Score, post-operative pain rate, and revision rate using a random-effects model. Comprehensive Meta-Analysis (CMA) software version ۳.۳ facilitated analyses.Results: The primary search yielded ۱,۶۶۲ articles, after screening the records, ۳۵ study included. In case report studies, ۱۸ patients were analyzed with an average age of ۳۳.۷ years. Complications included joint ankylosis, osteonecrosis, muscle atrophy, and osteopenia. Revision surgery was performed in three cases, with one due to infection. In case series studies, ۲۹۵ patients with an average age of ۱۵.۶ years had complications such as joint collapse, femoral nerve palsy, and avascular necrosis. Thirteen revision cases were reported. Among ۱۸ case series, arthroscopic complications were noted in nine studies, while six studies reported none. Full range of motion was achieved in ۱۳ studies, and pain resolution in ۱۱.Conclusion: Utilizing arthroscopic techniques for treating septic arthritis of the hip represents a safe, effective, and minimally invasive choice, demonstrating favorable clinical results, relatively low rates of revision and complications, and rapid rehabilitation periods. Level of evidence: IV

کلیدواژه ها:

Arthroscopy ، Hip ، Hip Infection ، Septic arthritis