Thursday, May 19, 2016

Measure twice--cut once

Major--but could be your best bet.
If you have bad, ongoing hip pain--surgery may end up being your only answer. But what kind of surgery--minimally invasive arthroscopic surgery where you go home that afternoon or total hip replacement?

Many people opt for the less invasive surgery--done with small incisions. This is a difficult procedure, but more surgeons have learned it and it's gaining in popularity.

However, it is best for treating hip impingement, labral tears and loose cartilage within the hip--and in younger patients to keep them from getting arthritis in the joint later.

But, increasingly, older patients opt for the arthroscopy--and want it to treat arthritis or inflammation of the hip.

Researchers at the Hospital for Special Surgery in Manhattan identified 7,351 patients in Cali and Florida databases who had arthrscopic and were followed up at two yrs.

They divided them into younger than 40, 40-49, 50-59, and 60-69. They also knew which ones had a diagnosis of hip arthritis and which ones were obese.

--Only 3% of those under 40 had to have a hip replacement done in the two-year period following their arthroscopy.

--35% of patients 60-69 had to. Obesity was also a risk factor for a second surgery, as was having arthritis already in the joint.

Arthroscopy is a good procedure in the right patient, a researcher said. It's a major advance in treating certain hip conditions, but not hip arthritis.

So--discuss with your physician?

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