Related Experiment Video
Updated: Nov 12, 2025
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
Hip Arthroscopy for Sequelae of Legg-Calve-Perthes Disease: A Systematic Review
Tarun Goyal1, Sitanshu Barik1, Tushar Gupta1
1Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Rishikesh, India.
Insights
Hip arthroscopy offers a safe and effective treatment for persistent hip pain and stiffness following Legg-Calve-Perthes disease (LCPD). This minimally invasive procedure can significantly improve hip function and range of motion, with benefits potentially lasting for years.
Area of Science:
- Orthopedic Surgery
- Hip Preservation
- Systematic Review
Background:
- Legg-Calve-Perthes disease (LCPD) can lead to long-term hip complications.
- Evidence regarding hip arthroscopy for LCPD sequelae is limited.
- Indications and outcomes require further evaluation.
Purpose of the Study:
- To systematically review the literature on hip arthroscopy for LCPD sequelae.
- To evaluate the indications, procedures, and outcomes of hip arthroscopy in this patient group.
Main Methods:
- Systematic literature search across four databases (April 2020).
- Adherence to Cochrane Collaboration and PRISMA guidelines.
- Inclusion of nine studies involving 109 hip arthroscopies for LCPD.
Main Results:
- Common indications: recalcitrant hip pain, pain, and stiffness.
- Frequent findings: labral tears, osteochondral lesions, loose bodies.
- Procedures: labral debridement, chondroplasty, osteoplasty.
- Significant improvement in hip function (Harris hip score) observed across studies.
Conclusions:
- Hip arthroscopy may benefit patients with impingement symptoms due to LCPD-related changes.
- Limited evidence suggests improved function and range of motion.
- The procedure demonstrates a favorable safety profile with potentially lasting improvements.
Abstract:
There is no clear evidence on indications and outcomes of hip arthroscopy in sequelae of Legg-Calve-Perthes disease (LCPD). The aim of the current study was to evaluate current literature on the role and outcome of hip arthroscopy in LCPD. A literature search using four databases was conducted in April 2020, focusing on the role of hip arthroscopy in sequelae of LCPD. A systematic search was carried out in confirmation with the Cochrane Collaboration, Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A total of nine studies were included in the systematic review. The total number of hip arthroscopies performed for LCPD was 109. The mean age of included patients was 34.8±7.88 years (7-58 years). Recalcitrant hip pain was the main indication for surgery, followed by pain and stiffness. The most common finding in arthroscopy was labral tears, followed by osteochondral lesions of femoral head or acetabulum and intra-articular loose bodies. Consequently, debridement of labrum tears chondroplasty for cartilage defects and osteoplasty for impingement from deformed femoral head (hinged abduction) were commonly performed. A significant improvement in hip function was seen in all studies. Pooled data of Harris hip score showed significant improvement after surgery was conducted. Hip arthroscopy may be beneficial in patients having symptoms of impingement secondary to changes in labrum, femoral head or acetabulum. Limited evidence shows improved function and range of motion after surgery. This treatment has been found to be safe in terms of complication rates and improvement may persist for years.
