title: Hip arthroscopy in obese, a successful combination?
abstract: Discussion persists about the outcome and results of hip arthroscopy in obese patients. Hip arthroscopy gained popularity over time. A current discussion is if obese patients can reach similar results after surgery compared with non-obese. To our knowledge, this is the first systematic review of literature about hip arthroscopy and obesity. We searched the Pubmed/Medline databases for literature and included three studies that compared the outcome of hip arthroscopy between different BMI groups. We extracted and pooled the data. For continues data a weighted mean difference was calculated, for dichotomous variables a weighted odds ratio (OR) was calculated using Review Software Manager. Heterogeneity of the included studies was calculated using I(2) statistics. Data were extracted from two studies. In the Obese group, there was significant more conversion to total hip replacement or resurfacing hip replacement (OR = 2.21, 95% CI 1.07-4.56) and more re-arthroscopy (OR = 4.68, 95% CI 1.41-15.45). Any reoperation occurred more often in the obese group (OR = 2.87, 95% CI 1.53-5.38). In the Non Arthritic Hip Score obese scored lower than the non-Obese group [10.9 (-14,6 to 7.1)]. For the modified Harris Hip Score the score is - 6,6, according to the MCID this difference is clinically relevant. For both scores obese show lower outcomes but similar improvement after hip arthroscopy. Regarding a higher chance of needing a re-operation and lower subjective outcome scores obesity appears to have a negative influence on the outcome of hip arthroscopy.
authors.affiliation: 1. Department of Orthopedic Surgery, Slotervaart Medical Center, Louwesweg 6, Amsterdam 1066 EC, the Netherlands.
authors.forename: N H
authors.initials: NH
authors.lastname: Bech
authors.affiliation: 1. Department of Orthopedic Surgery, Slotervaart Medical Center, Louwesweg 6, Amsterdam 1066 EC, the Netherlands.
authors.forename: I F
authors.initials: IF
authors.lastname: Kodde
authors.affiliation: 1. Department of Orthopedic Surgery, Slotervaart Medical Center, Louwesweg 6, Amsterdam 1066 EC, the Netherlands.
authors.forename: F
authors.initials: F
authors.lastname: Dusseldorp
authors.affiliation: 2. Department of Orthopedic Surgery, TweeSteden Hospital, Dr Deelenlaan 5, Tilburg 5042 AD, the Netherlands.
authors.forename: P A M C
authors.initials: PA
authors.lastname: Druyts
authors.affiliation: 3. Department of Orthopedic Surgery, Rijnland Hospital, Simon Smitweg 1, Leiderdorp 2353 GA, the Netherland.
authors.forename: S P L
authors.initials: SP
authors.lastname: Jansen
authors.affiliation: 1. Department of Orthopedic Surgery, Slotervaart Medical Center, Louwesweg 6, Amsterdam 1066 EC, the Netherlands.
authors.forename: D
authors.initials: D
authors.lastname: Haverkamp