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Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery
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| Zeitschriftentitel: | Orthopaedic Journal of Sports Medicine |
|---|---|
| Personen und Körperschaften: | , |
| In: | Orthopaedic Journal of Sports Medicine, 6, 2018, 5, S. 232596711877153 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
SAGE Publications
|
| Schlagwörter: |
| author_facet |
Reda, Bashar Wong, Ivan Reda, Bashar Wong, Ivan |
|---|---|
| author |
Reda, Bashar Wong, Ivan |
| spellingShingle |
Reda, Bashar Wong, Ivan Orthopaedic Journal of Sports Medicine Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery Orthopedics and Sports Medicine |
| author_sort |
reda, bashar |
| spelling |
Reda, Bashar Wong, Ivan 2325-9671 2325-9671 SAGE Publications Orthopedics and Sports Medicine http://dx.doi.org/10.1177/2325967118771535 <jats:sec><jats:title>Background:</jats:title><jats:p> Hip arthroscopic surgery is a rapidly growing procedure that requires distraction of the leg to access the joint. A frequently reported complication of this procedure is postoperative numbness, with rates between 1% and 20% reported in the literature. </jats:p></jats:sec><jats:sec><jats:title>Purpose/Hypothesis:</jats:title><jats:p> The purpose of this study was to determine the factors contributing to the development and effect of numbness on functional outcomes. We hypothesized that this complication is underreported and that its prevalence is higher than what has been described in the literature. </jats:p></jats:sec><jats:sec><jats:title>Study Design:</jats:title><jats:p> Case series; Level of evidence, 4. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Patients who had undergone hip arthroscopic surgery between 2012 and 2016 were included, and a telephone survey was conducted to collect data. Data related to the procedure and outcome scores were collected via a systematic chart review for the included patients. Data analysis was conducted for means, SDs, frequencies, and percentages. For comparative statistics, t tests and multiple logistic regression models were used. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> A total of 221 patients (113 male, 108 female; mean age, 39.8 ± 13.34 years) completed the survey out of 362 eligible patients. Overall, 37% (n = 82) of patients reported having experienced some form of numbness after surgery. Approximately 43% (35/82) of the patients reported resolution by 6 weeks postoperatively, and 68% (56/82) of numbness was reported to have completely resolved by 6 months. The duration of surgery was a significant factor for the development of postoperative numbness ( P = .010; odds ratio, 2.18) when comparing procedures longer than 50 minutes with procedures shorter than 50 minutes (first incision until closure). Postoperative numbness was associated with a negative effect on the International Hip Outcome Tool–33 (iHOT-33) score that reached statistical significance at the 1-year (numbness, 60.19; no numbness, 74.21; P = .006) and 2-year time points (numbness, 52.04; no numbness, 72.69; P = .01). </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> This study confirmed our hypothesis that postoperative numbness is more common in our patient population than the incidence reported in the literature. This adverse event was also shown to be associated with decreased postoperative functional outcomes, as measured by the iHOT-33 at 1 and 2 years postoperatively. </jats:p></jats:sec> Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery Orthopaedic Journal of Sports Medicine |
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| title |
Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery |
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Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery |
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Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery |
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Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery |
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Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery |
| title_short |
Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery |
| title_sort |
postoperative numbness: a survey of patients after hip arthroscopic surgery |
| topic |
Orthopedics and Sports Medicine |
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http://dx.doi.org/10.1177/2325967118771535 |
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2018 |
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232596711877153 |
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<jats:sec><jats:title>Background:</jats:title><jats:p> Hip arthroscopic surgery is a rapidly growing procedure that requires distraction of the leg to access the joint. A frequently reported complication of this procedure is postoperative numbness, with rates between 1% and 20% reported in the literature. </jats:p></jats:sec><jats:sec><jats:title>Purpose/Hypothesis:</jats:title><jats:p> The purpose of this study was to determine the factors contributing to the development and effect of numbness on functional outcomes. We hypothesized that this complication is underreported and that its prevalence is higher than what has been described in the literature. </jats:p></jats:sec><jats:sec><jats:title>Study Design:</jats:title><jats:p> Case series; Level of evidence, 4. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Patients who had undergone hip arthroscopic surgery between 2012 and 2016 were included, and a telephone survey was conducted to collect data. Data related to the procedure and outcome scores were collected via a systematic chart review for the included patients. Data analysis was conducted for means, SDs, frequencies, and percentages. For comparative statistics, t tests and multiple logistic regression models were used. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> A total of 221 patients (113 male, 108 female; mean age, 39.8 ± 13.34 years) completed the survey out of 362 eligible patients. Overall, 37% (n = 82) of patients reported having experienced some form of numbness after surgery. Approximately 43% (35/82) of the patients reported resolution by 6 weeks postoperatively, and 68% (56/82) of numbness was reported to have completely resolved by 6 months. The duration of surgery was a significant factor for the development of postoperative numbness ( P = .010; odds ratio, 2.18) when comparing procedures longer than 50 minutes with procedures shorter than 50 minutes (first incision until closure). Postoperative numbness was associated with a negative effect on the International Hip Outcome Tool–33 (iHOT-33) score that reached statistical significance at the 1-year (numbness, 60.19; no numbness, 74.21; P = .006) and 2-year time points (numbness, 52.04; no numbness, 72.69; P = .01). </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> This study confirmed our hypothesis that postoperative numbness is more common in our patient population than the incidence reported in the literature. This adverse event was also shown to be associated with decreased postoperative functional outcomes, as measured by the iHOT-33 at 1 and 2 years postoperatively. </jats:p></jats:sec> |
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| description | <jats:sec><jats:title>Background:</jats:title><jats:p> Hip arthroscopic surgery is a rapidly growing procedure that requires distraction of the leg to access the joint. A frequently reported complication of this procedure is postoperative numbness, with rates between 1% and 20% reported in the literature. </jats:p></jats:sec><jats:sec><jats:title>Purpose/Hypothesis:</jats:title><jats:p> The purpose of this study was to determine the factors contributing to the development and effect of numbness on functional outcomes. We hypothesized that this complication is underreported and that its prevalence is higher than what has been described in the literature. </jats:p></jats:sec><jats:sec><jats:title>Study Design:</jats:title><jats:p> Case series; Level of evidence, 4. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Patients who had undergone hip arthroscopic surgery between 2012 and 2016 were included, and a telephone survey was conducted to collect data. Data related to the procedure and outcome scores were collected via a systematic chart review for the included patients. Data analysis was conducted for means, SDs, frequencies, and percentages. For comparative statistics, t tests and multiple logistic regression models were used. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> A total of 221 patients (113 male, 108 female; mean age, 39.8 ± 13.34 years) completed the survey out of 362 eligible patients. Overall, 37% (n = 82) of patients reported having experienced some form of numbness after surgery. Approximately 43% (35/82) of the patients reported resolution by 6 weeks postoperatively, and 68% (56/82) of numbness was reported to have completely resolved by 6 months. The duration of surgery was a significant factor for the development of postoperative numbness ( P = .010; odds ratio, 2.18) when comparing procedures longer than 50 minutes with procedures shorter than 50 minutes (first incision until closure). Postoperative numbness was associated with a negative effect on the International Hip Outcome Tool–33 (iHOT-33) score that reached statistical significance at the 1-year (numbness, 60.19; no numbness, 74.21; P = .006) and 2-year time points (numbness, 52.04; no numbness, 72.69; P = .01). </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> This study confirmed our hypothesis that postoperative numbness is more common in our patient population than the incidence reported in the literature. This adverse event was also shown to be associated with decreased postoperative functional outcomes, as measured by the iHOT-33 at 1 and 2 years postoperatively. </jats:p></jats:sec> |
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| spelling | Reda, Bashar Wong, Ivan 2325-9671 2325-9671 SAGE Publications Orthopedics and Sports Medicine http://dx.doi.org/10.1177/2325967118771535 <jats:sec><jats:title>Background:</jats:title><jats:p> Hip arthroscopic surgery is a rapidly growing procedure that requires distraction of the leg to access the joint. A frequently reported complication of this procedure is postoperative numbness, with rates between 1% and 20% reported in the literature. </jats:p></jats:sec><jats:sec><jats:title>Purpose/Hypothesis:</jats:title><jats:p> The purpose of this study was to determine the factors contributing to the development and effect of numbness on functional outcomes. We hypothesized that this complication is underreported and that its prevalence is higher than what has been described in the literature. </jats:p></jats:sec><jats:sec><jats:title>Study Design:</jats:title><jats:p> Case series; Level of evidence, 4. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Patients who had undergone hip arthroscopic surgery between 2012 and 2016 were included, and a telephone survey was conducted to collect data. Data related to the procedure and outcome scores were collected via a systematic chart review for the included patients. Data analysis was conducted for means, SDs, frequencies, and percentages. For comparative statistics, t tests and multiple logistic regression models were used. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> A total of 221 patients (113 male, 108 female; mean age, 39.8 ± 13.34 years) completed the survey out of 362 eligible patients. Overall, 37% (n = 82) of patients reported having experienced some form of numbness after surgery. Approximately 43% (35/82) of the patients reported resolution by 6 weeks postoperatively, and 68% (56/82) of numbness was reported to have completely resolved by 6 months. The duration of surgery was a significant factor for the development of postoperative numbness ( P = .010; odds ratio, 2.18) when comparing procedures longer than 50 minutes with procedures shorter than 50 minutes (first incision until closure). Postoperative numbness was associated with a negative effect on the International Hip Outcome Tool–33 (iHOT-33) score that reached statistical significance at the 1-year (numbness, 60.19; no numbness, 74.21; P = .006) and 2-year time points (numbness, 52.04; no numbness, 72.69; P = .01). </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> This study confirmed our hypothesis that postoperative numbness is more common in our patient population than the incidence reported in the literature. This adverse event was also shown to be associated with decreased postoperative functional outcomes, as measured by the iHOT-33 at 1 and 2 years postoperatively. </jats:p></jats:sec> Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery Orthopaedic Journal of Sports Medicine |
| spellingShingle | Reda, Bashar, Wong, Ivan, Orthopaedic Journal of Sports Medicine, Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery, Orthopedics and Sports Medicine |
| title | Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery |
| title_full | Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery |
| title_fullStr | Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery |
| title_full_unstemmed | Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery |
| title_short | Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery |
| title_sort | postoperative numbness: a survey of patients after hip arthroscopic surgery |
| title_unstemmed | Postoperative Numbness: A Survey of Patients After Hip Arthroscopic Surgery |
| topic | Orthopedics and Sports Medicine |
| url | http://dx.doi.org/10.1177/2325967118771535 |