Results of Arthroscopic Management of Femoral Head Pathology

Chondromalacia

There is no specific treatment following the arthroscopic diagnosis of chondromalacia. However, a substantial number of patients improve following arthroscopy.

Chondral/Osteochondral Defects

Many localized lesions that are amenable to debridement or drilling may have an extremely good outcome and resolution of mechanical symptoms. In others, however, the progression toward generalized osteoarthritis continues.

Degenerative Joint Disease

The outcome of arthroscopic debridement is very variable. As in the knee, patients who are less advanced radiograpically have a better outcome. Sixty percent of unselected patients have symptom relief for at least 6 months. In selected patients (i.e. patients less than 50 years old with a good range of movement), however, more than 70% may gain significant benefit for up to 2 years.2 Patients should be warned, however, that slightly less than 5% of individuals can be made worse following hip arthroscopy. In the advanced cases, temporary relief may be obtained by corticosteroid injection.

Ligamentum Teres

Impingement secondary to a torn ligamentum teres may be resolved by resection and often does well. In our series, results of surgery to the ligamentum teres alone have been promising, particularly for type 2 lesions. Associated disease is common and often requires operative attention. In such cases the outcome depends on the extent of the associated pathology.

Inflammatory conditions such as chondrocalcinosis may feel worse shortly after the procedure, but recover to benefit in the longer term. Arthroscopy for avascular necrosis, fractures, chondrolysis, arthrofibrosis, and deformity is largely diagnostic or for assessment. Results following any additional treatment are extremely variable.

Osteoarthritis

Osteoarthritis

Thank you for deciding to learn more about the disorder, Osteoarthritis. Inside these pages, you will learn what it is, who is most at risk for developing it, what causes it, and some treatment plans to help those that do have it feel better. While there is no definitive “cure” for Osteoarthritis, there are ways in which individuals can improve their quality of life and change the discomfort level to one that can be tolerated on a daily basis.

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