[The effectiveness of arthroscopic debridement and lavage treatment in osteoarthritis of the hip: preliminary results].
OBJECTIVE
We evaluated the early results of arthroscopic debridement and lavage procedure in osteoarthritis of the hip.


METHODS
The hips of 13 patients (7 women, 6 men; mean age 52 years; range 29 to 74 years) were treated by arthroscopic debridement and lavage in lateral position under general anesthesia. Ten patients had primary coxarthrosis; it was due to acetabular dysplasia in two patients, and to avascular necrosis of the femoral head in one patient. The patients were radiographically and arthroscopically evaluated according to the Kellgren-Lawrence grading system and the Tippett's chondropathy classification, respectively. Preoperative and postoperative assessments of the hips were made according to the Harris hip scoring system. The mean follow-up was 11.2 months (range 5 to 22 months).


RESULTS
Harris hip scores increased in eight patients (62%) postoperatively, namely, in only one patient out of six with a radiographically high grade of osteoarthritis (grade 4), and in all seven patients with grade 2 or 3 disease. No complications occurred. Significant negative correlations were found between radiographic and arthroscopic grades and the clinical improvement (p=0.001). However, the patients' age and the preoperative Harris hip score were not correlated with the clinical result.


CONCLUSIONS
Arthroscopic debridement and lavage provides significant clinical improvement during short-term follow-up of osteoarthritic hips with radiographic grades of 3 or less.
Sözen
Yunus Vehbi
YV
Department of Orthopedics and Traumatology, Medicine Faculty of Istanbul University, Istanbul, Turkey. yunusvehbisozen@hotmail.com
Hepgür
Gökhan
G
Kiliçoğlu
Onder
O
Yazicioğlu
Onder
O
D000328:Adult; D000368:Aged; D001182:Arthroscopy / Q000379:methods*; D003646:Debridement / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011859:Radiography; D016059:Range of Motion, Articular; D007507:Therapeutic Irrigation / Q000379:methods; D016896:Treatment Outcome