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Postoperative creatine kinase elevation following hip arthroscopy and associated risk factors

Hisahiro Tonotsuka1, Hajime Sugiyama1, Daisuke Tanaka1

  • 1Department of Orthopaedic Surgery, Kanagawa Rehabilitation Hospital, 516 Nanasawa, Atsugi, Kanagawa, Japan; Department of Orthopaedic Surgery, The Jikei University School of Medicine, 3-19-18 Nishishinbashi Minato-ku, Tokyo, Japan.

Acta Orthopaedica Et Traumatologica Turcica
|September 21, 2019
PubMed

Insights

Postoperative creatine kinase (CK) levels can elevate after hip arthroscopy. Monitor CK in young patients and those with prolonged traction to mitigate risks.

Area of Science:

  • Orthopedic Surgery
  • Biochemistry
  • Patient Monitoring

Background:

  • Hip arthroscopy is a common orthopedic procedure.
  • Postoperative creatine kinase (CK) elevation is a potential concern following surgical interventions.
  • Understanding CK dynamics and risk factors is crucial for patient management.

Purpose of the Study:

  • To investigate postoperative creatine kinase (CK) levels after hip arthroscopy.
  • To identify independent risk factors associated with CK elevation post-hip arthroscopy.

Main Methods:

  • Retrospective review of 122 patients undergoing hip arthroscopy.
  • Serial CK measurements: preoperative, postoperative days 1 & 3, and weeks 1 & 2.
  • Univariate and multivariate analyses to identify risk factors for CK > 10x upper limit of normal (ULN).

Main Results:

  • CK levels were significantly higher on postoperative days 1 and 3 compared to pre-surgery.
  • 9.0% of patients (11/122) experienced CK > 10x ULN.
  • Younger age and longer duration of traction were identified as independent risk factors for elevated CK.

Conclusions:

  • Creatine kinase (CK) monitoring is recommended after hip arthroscopy.
  • Particular attention should be paid to younger patients.
  • Prolonged intraoperative traction duration is a significant risk factor for CK elevation.
Abstract

Keywords:
Arthroscopic surgeryComplicationCreatine kinaseHip arthroscopyRhabdomyolysis

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