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Hip arthroscopy in children and adolescents
Mininder S Kocher1, Young-Jo Kim, Michael B Millis
1Department of Orthopaedic Surgery, Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA. mininder.kocher@childrens.harvard.edu
Journal of Pediatric Orthopedics
|October 4, 2005
Summary
Hip arthroscopy in pediatric patients shows significant improvement in hip function scores. This minimally invasive procedure is safe and effective for various hip conditions in young individuals.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Minimally Invasive Procedures
Background:
- Hip arthroscopy is established in adults, but less common in pediatric populations.
- Limited data exists on the efficacy and safety of hip arthroscopy in children and adolescents.
Purpose of the Study:
- To evaluate the early-term outcomes of hip arthroscopy in patients aged 18 years and younger.
- To analyze results based on specific hip diagnoses in the pediatric and adolescent population.
Main Methods:
- A consecutive case series of 54 hip arthroscopies in 42 patients (≤18 years) was reviewed.
- Minimum 1-year follow-up with assessment using the modified Harris Hip Score (HHS).
- Analysis of overall results and outcomes stratified by diagnosis.
Main Results:
- Overall HHS significantly improved from 53.1 to 82.9 (P < 0.001), with 83% of patients showing improvement.
- Significant HHS improvement observed for isolated labral tears, Perthes disease, and hip dysplasia post-osteotomy.
- Complications included transient pudendal nerve palsy, instrument breakage, and recurrent labral tears.
Conclusions:
- Hip arthroscopy demonstrates short-term safety and efficacy in children and adolescents for specific indications.
- The procedure offers a viable treatment option for pediatric hip conditions like labral tears and Perthes disease.
- Further research may explore long-term outcomes and refine indications for pediatric hip arthroscopy.
