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Poursalehian, Mohammad, Hajiaghajani, Sina, Sabaghian, Amirhosein, Hoveidaei, Amir Human, Conway, Janet. (1403). Outcomes and Complications of Arthroscopic Treatment for Septic Arthritis of the Hip: A Systematic Review. , 13(2), 62-74. doi: 10.22038/abjs.2024.80263.3668
Mohammad Poursalehian; Sina Hajiaghajani; Amirhosein Sabaghian; Amir Human Hoveidaei; Janet Conway. "Outcomes and Complications of Arthroscopic Treatment for Septic Arthritis of the Hip: A Systematic Review". , 13, 2, 1403, 62-74. doi: 10.22038/abjs.2024.80263.3668
Poursalehian, Mohammad, Hajiaghajani, Sina, Sabaghian, Amirhosein, Hoveidaei, Amir Human, Conway, Janet. (1403). 'Outcomes and Complications of Arthroscopic Treatment for Septic Arthritis of the Hip: A Systematic Review', , 13(2), pp. 62-74. doi: 10.22038/abjs.2024.80263.3668
Poursalehian, Mohammad, Hajiaghajani, Sina, Sabaghian, Amirhosein, Hoveidaei, Amir Human, Conway, Janet. Outcomes and Complications of Arthroscopic Treatment for Septic Arthritis of the Hip: A Systematic Review. , 1403; 13(2): 62-74. doi: 10.22038/abjs.2024.80263.3668

Outcomes and Complications of Arthroscopic Treatment for Septic Arthritis of the Hip: A Systematic Review

The Archives of Bone and Joint Surgery
مقاله 1، دوره 13، شماره 2، اردیبهشت 2025، صفحه 62-74    اصل مقاله (1.44 M)
نوع مقاله: SYSTEMATIC REVIEW
شناسه دیجیتال (DOI): 10.22038/abjs.2024.80263.3668
نویسندگان
Mohammad Poursalehian1؛ Sina Hajiaghajani2؛ Amirhosein Sabaghian3؛ Amir Human Hoveidaei4؛ Janet Conway* 4
1Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
2Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3School of Medicine, Iran University of Medical Sciences, Tehran, Iran
4International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland, USA
چکیده
Objectives: The exact role and safety of arthroscopy in SAH management remain contentious. This 
systematic review aims to assess the outcomes and complications of arthroscopic treatment, shedding 
light on its efficacy and safety profile.
Methods: Following PRISMA guidelines, searches were conducted in PubMed, Scopus, Embase, and Web of 
Science until January 25, 2024. Eligible studies included SAH patients undergoing arthroscopic treatment. Data 
extraction covered demographics, clinical findings, and functional outcomes. Quality assessment used NIH case 
series assessment and Newcastle-Ottawa Scale. Quantitative analysis focused on Hip Harris Score, post-operative 
pain rate, and revision rate using a random-effects model. Comprehensive Meta-Analysis (CMA) software version 
3.3 facilitated analyses.
Results: The primary search yielded 1,662 articles, after screening the records, 35 study included. In case report 
studies, 18 patients were analyzed with an average age of 33.7 years. Complications included joint ankylosis, 
osteonecrosis, muscle atrophy, and osteopenia. Revision surgery was performed in three cases, with one due to 
infection. In case series studies, 295 patients with an average age of 15.6 years had complications such as joint 
collapse, femoral nerve palsy, and avascular necrosis. Thirteen revision cases were reported. Among 18 case 
series, arthroscopic complications were noted in nine studies, while six studies reported none. Full range of motion 
was achieved in 13 studies, and pain resolution in 11.
Conclusion: Utilizing arthroscopic techniques for treating septic arthritis of the hip represents a safe, effective, and 
minimally invasive choice, demonstrating favorable clinical results, relatively low rates of revision and complications, 
and rapid rehabilitation periods.
 Level of evidence: IV
کلیدواژه‌ها
Arthroscopy؛ Hip؛ Hip infection؛ Septic arthritis
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