№ files_lp_4_process_3_083631
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Clinical commissioning policy outlining eligibility criteria, clinical indications, and rationale for arthroscopic hip surgery in cases of labral tear, femoro-acetabular impingement syndrome, septic arthritis of the hip, and traumatic intra-articular loose bodies.
Intervention: Arthroscopic hip surgery
Conditions treated: Labral tear; Femoro-Acetabular Impingement (FAI); Sepsis of the hip joint; Loose body
Document type: Commissioning policy / clinical commissioning position
Subject area: Orthopaedic surgery; hip joint disorders
Clinical indications: Labral tear; Femoro-Acetabular Impingement Syndrome; septic arthritis of the native hip joint; intra-articular loose bodies following trauma
Eligibility criteria: Defined clinical, radiological, symptomatic, and treatment history requirements including failure of conservative therapy
Target patient group: Adults aged 18–50 years for FAI-related surgery
Authoring body: NICE referenced; British Hip Society referenced
Register requirement: Non-Arthroplasty Hip Surgery Register maintained by the British Hip Society
Evidence basis: Clinical and radiological diagnosis including X-ray, MRI, and CT
Effective from: October 2024
Policy review date: October 2027
References: NICE IPG408 guidance; British Orthopaedic Association guidance on hip pain in adults; British Hip Society Non-Arthroplasty Hip Registry; SANJO guideline for septic arthritis; Journal of Orthopaedic Trauma article on arthroscopic removal of loose bodies
Price: 8 / 10 USD
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GNRB® vs MRI for Detecting Anterior Cruciate Ligament Tears with Arthroscopic Validation (2016–2018)
Year: 2016–2018
Country: France
City: Lille; Laval
Field: Orthopaedics; Radiology; Medical Devices
Document Type: Academic research study (Master 2 thesis abstract)
Author: Florian Beaurain
Academic Institution: College of Lille
Supervisors: Stéphane Nouveau; Henri Robert
Affiliated Institution: CHNM
Study Design: Retrospective comparative study with arthroscopic validation
Population: Operated patients with ACL tears or ACL tears with meniscus (n=200; 136 included)
Groups: Complete ACL tears; Partial ACL tears
Diagnostic Methods Compared: GNRB arthrometer; MRI (1.5 Tesla)
Reference Standard: Arthroscopy
Statistical Analysis: Non-inferiority test; Difference of proportions test; Confidence interval estimation
Primary Outcome: Sensibility of GNRB versus MRI
Sample Size Calculation: Minimum 36 subjects per group (72 total)
Key Results: Equivalent sensibility for complete ACL tears; higher sensibility of GNRB for partial ACL tears
References: Beldame J (2009); Lefevre N et al. (2014); Klouche S et al. (2015); Steltzlen C et al. (2011); Robert H et al. (2009)
Topics: Labral Femoro-Acetabular Arthroscopic