June 09, 2015
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Data show traction-related pain common after hip arthroscopy

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LYON, France — Among 100 patients who underwent hip arthroscopy, 74% reported at least one traction-related complication, with complications dissipating within 2 weeks to 4 weeks, according to survey data presented at the International Society for Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine Biennial Congress.

“We demonstrated quite a high incidence of complications related to traction, and from the interviews, we also heard that patients lacked information about these complications,” Bent Lund, MD, of Äarhus, Denmark, said during his presentation here. “The early traction-related complications are more frequent than suggested in the literature, and … they disappear very soon after surgery.”

Lund and colleagues prospectively surveyed patients who had hip arthroscopy from 2011 to 2013. In the 25-question survey, patients were asked whether they had pain, and if so, the duration and location of the pain. Patients were asked to complete the survey 10 days postoperatively and again at 3 months postoperatively. In addition, a study co-author interviewed some of the patients about their pain. About 60% of the patients were women, and the overall mean age of study participants was 37 years.

Bent Lund

“The results were that 74% of the patients had at least one complication, and females had more complications than men,” Lund said. “Generally, the complications were limited and dissipated within 2 [weeks] to 4 weeks. We had five patients who complained of knee pain 90 days after surgery, but otherwise, all other patients had no symptoms at 3 months.”

According to Lund, 32 patients reported groin pain, 37 reported foot pain and 49 had knee pain. All of these patients reported swelling and sensibility changes. Patients with knee pain also reported some feelings of laxity, whereas patients with groin or foot pain reported some pressure spots.

In addition, Lund said a comparison of patients who had traction-related complications with those who did not revealed no significant differences between the groups in terms of BMI or traction time. – by Gina Brockenbrough, MA

Reference:

Lund B, et al. Paper #109. Presented at: International Society for Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine Biennial Congress; June 7-11, 2015; Lyon, France.

Disclosure: Lund reports no relevant financial disclosures.