Analysis of the Relevance of Radiologic Parameters on the Outcome After Hip Arthroscopy

NCT ID: NCT05310240

Last Updated: 2023-08-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

810 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-02-01

Study Completion Date

2023-02-01

Brief Summary

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Joint-preserving surgery with arthroscopic techniques of the hip follows detailed radiological assessment including plain radiography of the hips and magnetic resonance arthrography (MRI). The purpose of this study was to compare features on radiography and MRI of the hip before surgery and assess their prognostic value on the outcome after surgery.

Detailed Description

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Hip arthroscopy is indicated for the treatment of a variety of pathologies of the hip, in patients without osteoarthritis. The diagnosis in patients with pain at the hip is made after history taking, clinical examination and radiological evaluation with plain radiography in a standardized technique and a magnetic resonance arthrography of the hip. The main indications for hip arthroscopy include CAM-type femoroacetabular impingement (FAI) necessitating bony decompression and chondro-labral tears necessitating arthroscopic repair or debridement. The purpose of this radiological non-interventional outcome study was to assess features on plain radiography and MRI in favor of good outcome after hip arthroscopy.

This department performed 810 hip arthroscopies in the years of 2013 till 2021. All of those patients underwent standardized radiological evaluation with radiography and MRI. Radiographical parameters are assessed by a resident with experience in musculo-sceletal radiology, intra- and inter-observer reliability has been assessed for each parameter. All arthroscopies have been performed by two experience senior orthopedic surgeons. Ethical board approval has been obtained to follow-up on those patients. Follow-up includes the patient-reported outcome assessment using the iHOT12 score and the modified Harris hip score. The clinical end-point is the time till total hip arthroplasty (THA), a registry analysis of the Tyrolean Arthroplasty registry (TAR) has been performed. Statistical analysis is performed using ANOVA and Fishers T-Tests, the level of significance is .05.

Conditions

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Femoro-acetabular Impingement Hip Impingement Syndrome Hip Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Hip arthroscopy

Patients that underwent hip arthroscopy at this department between 2013 and 2021.

Hip arthroscopy

Intervention Type PROCEDURE

Arthroscopic surgery of the hip

Interventions

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Hip arthroscopy

Arthroscopic surgery of the hip

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Hip arthroscopy from 2013-2021 at this department.

Exclusion Criteria

* Age below 18 years.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bezirkskrankenhaus St. Johann in Tirol

OTHER

Sponsor Role lead

Responsible Party

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Moritz Wagner

Prinicpal investigator Dr. med. univ. Moritz Wagner

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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BKH St. Johann in Tirol

Sankt Johann in Tirol, Tyrol, Austria

Site Status

Countries

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Austria

References

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Ross JR, Larson CM, Bedi A. Indications for Hip Arthroscopy. Sports Health. 2017 Sep/Oct;9(5):402-413. doi: 10.1177/1941738117712675. Epub 2017 Jul 5.

Reference Type BACKGROUND
PMID: 28678628 (View on PubMed)

McCarthy JC, Glassner PJ. Correlation of magnetic resonance arthrography with revision hip arthroscopy. Clin Orthop Relat Res. 2013 Dec;471(12):4006-11. doi: 10.1007/s11999-013-3202-5. Epub 2013 Aug 1.

Reference Type BACKGROUND
PMID: 23904247 (View on PubMed)

Wagner M, Lindtner RA, Schaller L, Schmaranzer F, Schmaranzer E, Vavron P, Endstrasser F, Brunner A. Hip arthroscopy with initial access to the peripheral compartment for femoroacetabular impingement: midterm results from a large-scale patient cohort. J Orthop Traumatol. 2024 May 24;25(1):29. doi: 10.1186/s10195-024-00770-6.

Reference Type DERIVED
PMID: 38789896 (View on PubMed)

Other Identifiers

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1199/2021

Identifier Type: -

Identifier Source: org_study_id

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