A Narrative Review in Hip Surgery: Key Findings from a Leading Orthopedic Journal in 2022–2023
Background/Objectives: Orthopedic hip surgery has undergone advances driven by innovations in surgical techniques and improved patient care protocols. The aim was to synthesize and appraise all studies relevant to hip surgery published in Knee Surgery, Sports Traumatology, Arthroscopy (KSSTA) in 202...
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MDPI AG
2024-12-01
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| Series: | Surgeries |
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| Online Access: | https://www.mdpi.com/2673-4095/5/4/89 |
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| author | Nikolai Ramadanov Maximilian Voss Robert Prill Jonathan Lettner Aleksandra Królikowska Krzysztof Korolczuk Roland Becker |
| author_facet | Nikolai Ramadanov Maximilian Voss Robert Prill Jonathan Lettner Aleksandra Królikowska Krzysztof Korolczuk Roland Becker |
| author_sort | Nikolai Ramadanov |
| collection | DOAJ |
| description | Background/Objectives: Orthopedic hip surgery has undergone advances driven by innovations in surgical techniques and improved patient care protocols. The aim was to synthesize and appraise all studies relevant to hip surgery published in Knee Surgery, Sports Traumatology, Arthroscopy (KSSTA) in 2022–2023. Methods: The search included all studies published in KSSTA from 1 January 2022 to 31 December 2023. Quality assessment was performed using appropriate tools for randomized controlled trials (RCTs), non-RCTs, and systematic reviews. Due to the diverse nature of the included studies, a narrative synthesis approach was used. Results: A total of 33 primary studies were included in this narrative review, of which 10 were reviews (5 systematic reviews), 1 was an RCT, and 22 were non-RCTs. A total of 11 were from the UK, 10 studies were from the USA, and 5 were from Canada. Femoroacetabular impingement (FAI) was investigated in a total of 23 studies, followed by hip micro-instability in 7 studies, dysplasia in 5 studies, and gluteal and hamstring tears in 4 studies. The RCT had a low risk of bias. Of the 22 non-RCTs, 16 had a low risk of bias, 5 had a moderate risk of bias, and 1 had a high risk of bias. All systematic reviews were of moderate quality. Conclusions: Hip arthroscopy is an effective treatment for FAI with promising early outcomes, especially when combined with closed capsular repair and appropriate rehabilitation. Surgeons should tailor their approach to capsular management to optimize recovery, as closed capsular repair may enhance functional outcomes. Additionally, preoperative tools like the HAR Index can help identify patients at higher risk of requiring hip arthroplasty after surgery. The conclusions of the included primary studies align with current general recommendations and contribute valuable insights to the field of hip orthopedics. |
| format | Article |
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| institution | OA Journals |
| issn | 2673-4095 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Surgeries |
| spelling | doaj-art-8c4e25debb704d18918e7d2155073ff42025-08-20T02:01:10ZengMDPI AGSurgeries2673-40952024-12-01541102112910.3390/surgeries5040089A Narrative Review in Hip Surgery: Key Findings from a Leading Orthopedic Journal in 2022–2023Nikolai Ramadanov0Maximilian Voss1Robert Prill2Jonathan Lettner3Aleksandra Królikowska4Krzysztof Korolczuk5Roland Becker6Center of Orthopaedics and Traumatology, University Hospital Brandenburg an der Havel, Brandenburg Medical School Theodor Fontane, 14770 Brandenburg an der Havel, GermanyCenter of Orthopaedics and Traumatology, University Hospital Brandenburg an der Havel, Brandenburg Medical School Theodor Fontane, 14770 Brandenburg an der Havel, GermanyCenter of Orthopaedics and Traumatology, University Hospital Brandenburg an der Havel, Brandenburg Medical School Theodor Fontane, 14770 Brandenburg an der Havel, GermanyCenter of Orthopaedics and Traumatology, University Hospital Brandenburg an der Havel, Brandenburg Medical School Theodor Fontane, 14770 Brandenburg an der Havel, GermanyPhysiotherapy Research Laboratory, University Centre of Physiotherapy and Rehabilitation, Faculty of Physiotherapy, Wroclaw Medical University, 50368 Wroclaw, PolandDepartment of Orthopedics, Traumatology and Hand Surgery, Faculty of Medicine, Wroclaw Medical University, 50367 Wroclaw, PolandCenter of Orthopaedics and Traumatology, University Hospital Brandenburg an der Havel, Brandenburg Medical School Theodor Fontane, 14770 Brandenburg an der Havel, GermanyBackground/Objectives: Orthopedic hip surgery has undergone advances driven by innovations in surgical techniques and improved patient care protocols. The aim was to synthesize and appraise all studies relevant to hip surgery published in Knee Surgery, Sports Traumatology, Arthroscopy (KSSTA) in 2022–2023. Methods: The search included all studies published in KSSTA from 1 January 2022 to 31 December 2023. Quality assessment was performed using appropriate tools for randomized controlled trials (RCTs), non-RCTs, and systematic reviews. Due to the diverse nature of the included studies, a narrative synthesis approach was used. Results: A total of 33 primary studies were included in this narrative review, of which 10 were reviews (5 systematic reviews), 1 was an RCT, and 22 were non-RCTs. A total of 11 were from the UK, 10 studies were from the USA, and 5 were from Canada. Femoroacetabular impingement (FAI) was investigated in a total of 23 studies, followed by hip micro-instability in 7 studies, dysplasia in 5 studies, and gluteal and hamstring tears in 4 studies. The RCT had a low risk of bias. Of the 22 non-RCTs, 16 had a low risk of bias, 5 had a moderate risk of bias, and 1 had a high risk of bias. All systematic reviews were of moderate quality. Conclusions: Hip arthroscopy is an effective treatment for FAI with promising early outcomes, especially when combined with closed capsular repair and appropriate rehabilitation. Surgeons should tailor their approach to capsular management to optimize recovery, as closed capsular repair may enhance functional outcomes. Additionally, preoperative tools like the HAR Index can help identify patients at higher risk of requiring hip arthroplasty after surgery. The conclusions of the included primary studies align with current general recommendations and contribute valuable insights to the field of hip orthopedics.https://www.mdpi.com/2673-4095/5/4/89hiprevieworthopedicsfemoroacetabular impingementmicro-instability |
| spellingShingle | Nikolai Ramadanov Maximilian Voss Robert Prill Jonathan Lettner Aleksandra Królikowska Krzysztof Korolczuk Roland Becker A Narrative Review in Hip Surgery: Key Findings from a Leading Orthopedic Journal in 2022–2023 Surgeries hip review orthopedics femoroacetabular impingement micro-instability |
| title | A Narrative Review in Hip Surgery: Key Findings from a Leading Orthopedic Journal in 2022–2023 |
| title_full | A Narrative Review in Hip Surgery: Key Findings from a Leading Orthopedic Journal in 2022–2023 |
| title_fullStr | A Narrative Review in Hip Surgery: Key Findings from a Leading Orthopedic Journal in 2022–2023 |
| title_full_unstemmed | A Narrative Review in Hip Surgery: Key Findings from a Leading Orthopedic Journal in 2022–2023 |
| title_short | A Narrative Review in Hip Surgery: Key Findings from a Leading Orthopedic Journal in 2022–2023 |
| title_sort | narrative review in hip surgery key findings from a leading orthopedic journal in 2022 2023 |
| topic | hip review orthopedics femoroacetabular impingement micro-instability |
| url | https://www.mdpi.com/2673-4095/5/4/89 |
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