Experience and outcome data of the British non-arthroplasty hip registry

Abstract

Introduction:

The non-arthroplasty hip registry (NAHR) is a United Kingdom national register that monitors the efficacy of hip preservation surgery. We aim to highlight early experiences of incorporating the NAHR into our practice at a tertiary centre.

Methods:

Between December 2013 and February 2015, 381 patients were identified on the NAHR database that had undergone non-arthroplasty hip surgery. Patient-related outcome measures EuroQuol 5D-5L (EQ-5D) and the International Hip Outcome Tool 12 (iHOT-12) were recorded at baseline and 6 months.

Results:

The 289 arthroscopic surgeries showed a statistical significant difference (p<0.05) in iHOT-12 for both males (45.21-65.07) and females (34.57 to 55.53), and in EQ-5D for both males (0.59-0.75) and females (0.56-0.65). The 92 open procedures showed a statistical significant difference (p<0.05) in both iHOT-12 (31.71-62.42) and EQ-5D (0.54-0.68).

Conclusions:

Overall our results from the NAHR indicate hip preservation surgery is effective at relieving pain and improving quality of life in the short term.

Keywords

Hip arthroscopy hip preservation surgery non-arthroplasty hip registry periacetabular osteotomy

Get full access to this article

View all access options for this article.

References

National Joint Registry. www.njrcentre.org.uk. Accessed March 2016.

Report. https://www.britishhipsociety.com/. Accessed March 2016.

Brooks

EuroQol: the current state of play. Health Policy. 1996; 37(1): 53–72.

Griffin

Parsons

Mohtadi

Safran

MR.

Multicenter Arthroscopy of the Hip Outcomes Research Network. A short version of the International Hip Outcome Tool (iHOT-12) for use in routine clinical practice. Arthroscopy. 2012; 28(5): 611–616.

Søballe

Troelsen

Approaches and perioperative management in periacetabular osteotomy surgery: the minimally invasive transsartorial approach. Instr Course Lect. 2013; 62: 297–303.

Sansone

Ahldén

Jonasson

et al . A Swedish hip arthroscopy registry: demographics and development. Knee Surg Sports Traumatol Arthrosc. 2014; 22(4): 774–780.

Mygind-Klavsen

Nielse

Maagaard

et al . Danish Hip Arthroscopy Registry: an epidemiologic and perioperative description of the first 2000 procedures. J Hip Preserv Surg. 2016; 3(2): 138–145.

Malviya

Raza

Jameson

James

Reed

Partington

PF.

Complications and survival analyses of hip arthroscopies performed in the National Health Service in England: a review of 6,395 cases. Arthroscopy. 2015; 31(5): 836– 842.

National Institute for Health and Care Excellence (NICE). -Arthroscopic femoro-acetabular surgery for hip impingement syndrome. IPG408. September 2011.

10.

Jansson

Granath

Health-related quality of life (EQ-5D) before and after orthopedic surgery. Acta Orthop. 2011; 82(1): 82–89.

11.

Ethgen

Bruyère

Richy

Dardennes

Reginster

. Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am. 2004; 86(5): 963–974.

12.

Lund

Mygind-Klavsen

Grønbech Nielsen

et al . Danish Hip Arthroscopy Registry (DHAR): the outcome of patients with femoroacetabular impingement (FAI). J Hip Preserv Surg. 2017; 4(2): 170–177.