Partial Denervation and Anterior Release of the Hip Joint Capsule to Relieve Pain and Improve Function at Five Years Follow-up

Conn Med. 2017 Mar;81(3):145-151.

Abstract

Traditionally, patients with significant hip pain due to degenerative hip disease, who are not surgical candidates for a total hip arthroplasty (THA), or are wary of the procedure, have been managed with various modalities with variable effectiveness.

Objectives: We have recently developed an anterior release of the contracted hip capsule along with par- tial denervation ofthe hip joint performed on an out- patient basis to relieve pain and improve function.

Study design: A case series of 24 patients.

Methods: From November 2007 to April 2009, 24 partial,denervation procedures through an anterior approach were performed by a single surgeon. A clinical survey was conducted five years following the intervention.

Results: Eighteen ofthe 24 patients were alive at the time of follow-up. Four of the six patients who were deceased at the time of follow-up had not undergone aTHA while two had. Fifteen ofthe 18 patients who were still living received a THA while three did not. Ihe interval time to arthroplasty was 19 months.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthroplasty / methods*
  • Cadaver
  • Denervation*
  • Female
  • Follow-Up Studies
  • Hip Joint*
  • Humans
  • Joint Capsule / surgery*
  • Joint Diseases / etiology
  • Joint Diseases / physiopathology
  • Joint Diseases / surgery*
  • Male
  • Middle Aged
  • Recovery of Function
  • Treatment Outcome