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Volume 13
Journal of Orthopaedics Trauma Surgery and Related Research
ISSN: 1897-2276
Orthopedics 2018
March 08-09, 2018
March 08-09, 2018 London, UK
10
th
International Conference on
Orthopedics, Trauma and Rheumatology
J Orthop Trauma Surg Rel Res 2018, Volume 13
Capsulectomy or capsule repair? Histopathological evidence of anterior capsule disease in hip joints
undergoing hemiarthroplasty for trauma
Dunne L, Dawson P, Downey C
and
Leonard M
Ireland
Introduction:
There is ongoing debate over whether to remove or repair the anterior ligamentous capsule of the hip joint during
hemiarthroplasty following trauma, the latter being encouraged by certain techniques. We hypothesized that there is some degree
of histopathological disease in the anterior capsule of these hips which may impair future range of movement and long term post-
operative outcomes.
Aim:
The aim of this study was to find evidence of chronic inflammation in the ligamentous joint capsules of hips undergoing
hemiarthroplasty for trauma.
Methods:
30 patients undergoing hemiarthroplasty within 48 hours of an acute hip fracture were selected for this study. Samples were
obtained from the anterior capsule of their hip joints intraoperatively and examined for histopathological evidence of disease and
inflammation. Patients who had undergone previous surgery on the ipsilateral hip were excluded from the study.
Results:
73% of study participants were female with a mean age of 74. The most common mechanism of injury was a mechanical fall.
All samples evaluated were positive for fibrosis indicative of a chronic disease pattern. The joint capsule samples lacked signs of acute
inflammation which one may expect in the immediate post traumatic period following fracture.
Conclusion:
It canbe concluded that there is an evidence of histopathological disease inhip joint capsules undergoing hemiarthroplasty
for trauma the repair of which may impact future outcomes for patients undergoing these procedures. Further studies should be
undertaken to determine the impact on range of movement and long-term satisfaction of patients following capsule repair in contrast
to capsulectomy.
ldunne6@tcd.ie