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

Hip Disease Clinical Trial

Official title:

Evaluation of Prognostic Radiological Parameters on the Outcome After Hip Arthroscopy, a Cross-sectional Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05310240
• Other study ID #: 1199/2021
• Status: Completed
• Start date: February 1, 2022
• Est. completion date: February 1, 2023

Study information

• Verified date: August 2023
• Source: Bezirkskrankenhaus St. Johann in Tirol
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 810
• Est. completion date: February 1, 2023
• Est. primary completion date: January 1, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Hip arthroscopy from 2013-2021 at this department.

Exclusion Criteria:

• Age below 18 years.

Related Conditions & MeSH terms

• Femoracetabular Impingement
• Femoro-acetabular Impingement
• Hip Disease
• Hip Impingement Syndrome

Intervention

Procedure:
• Hip arthroscopy
Arthroscopic surgery of the hip

Locations

Country	Name	City	State
Austria	BKH St. Johann in Tirol	Sankt Johann In Tirol	Tyrol

Sponsors (1)

Lead Sponsor	Collaborator
Bezirkskrankenhaus St. Johann in Tirol

Country where clinical trial is conducted

Austria, 

References & Publications (2)

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. — View Citation

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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	prosthetic-free survival	The number of days between hip arthroscopy and total hip arthroplasty. This parameter is assessed with the help of a joint-replacement registry for all subjects.	Through study completion, an average of 1 year
Secondary	iHOT12 Score	Patient reported outcome measurement with validation for patients after hip arthroscopy	Through study completion, an average of 1 year
Secondary	modified Harris-Hip score	Patient reported outcome measurement with validation for failure of joint-preserving procedures	Through study completion, an average of 1 year