Arthroscopic versus open treatment of cam-type femoro-acetabular impingement: retrospective cohort clinical study

Rego, Paulo; Mascarenhas, Vasco; Oliveira, Filipe; Pinto, Pedro Contreiras; Sampaio, E.M.; Monteiro, Jacinto

doi:10.1007/s00264-017-3735-4

Cited by 21 publications

(8 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other published series have a significant shorter FU time, but the overall time matched survival rate, and patient-reported outcomes are similar. 23,63 The overall results seem promising, but reports of more consistent outcome measures are lacking. In fact, a recent meta-analysis review on FAI surgery results 64 showed that the present literature is primarily focused on PROMs and diagnostic imaging, both reported in 93% of the included studies.…”

Section: Long-term Resultsmentioning

confidence: 99%

“…Few studies report more than a 5-to 10-year follow-up after FAI surgery. 22,23 Thus we do not know for sure if hippreserving procedures will be cost effective and beneficial in the long term. We believe adequate patient selection, proper diagnosis based on good quality imaging, and appropriate surgery are the key factors to achieve good results in hip preservation.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Femoroacetabular Impingement: What the Surgeon Wants to Know

Rego

Beaulé

Ayeni

et al. 2019

Semin Musculoskelet Radiol

View full text Add to dashboard Cite

Femoroacetabular impingement (FAI) is increasingly recognized as a risk factor for early hip degeneration in young active patients. The diagnosis depends on clinical examination and proper imaging that should be able to identify abnormal and sometimes subtle morphological changes. Labral tears and cartilage lesions rarely occur without underlying bone abnormalities. Surgical approaches to treat FAI are increasing significantly worldwide, even without a clearly defined consensus of what should be accepted as the standard imaging diagnosis for FAI morphology.Hip abnormalities encompass many variations related to the shape, size, and spatial orientation of both sides of the joint and can be difficult to characterize if adequate imaging is not available.This article presents a comprehensive review about the information orthopaedic surgeons need to know from radiologists to plan the most rational approach to a painful hip resulting from a mechanical abnormality.

show abstract

Section: Long-term Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Femoroacetabular Impingement: What the Surgeon Wants to Know

Rego

Beaulé

Ayeni

et al. 2019

Semin Musculoskelet Radiol

View full text Add to dashboard Cite

show abstract

“…We assessed 7 studies [ 13 – 19 ] including 3 retrospective studies and 4 prospective cohort studies in this article. The included studies were conducted in 4 countries (Switzerland, Portugal, Brazil and USA) from 2011 to 2018, and involved 606 patients (299 patients treated with AT, 307 patients treated with OT) aged 19 to 36.12 years.…”

Section: Resultsmentioning

confidence: 99%

“…6 ). Comparison of postoperative internal rotation angle between the 2 groups was conducted among 2 included studies, [ 13 , 17 ] which contain 94 patients (63 patients received AT and 31 patients received OT) in Figure 7 . No heterogeneity was found among studies ( P = .52, I 2 = 0%), so the fixed-effect model was used.…”

Section: Resultsmentioning

confidence: 99%

Arthroscopic versus open treatment for femoroacetabular impingement

Qiao

Zhang

Ren³

et al. 2020

Medicine

View full text Add to dashboard Cite

Background: Femoroacetabular impingement (FAI) is a common cause of hip pain and restricted range of motion in young adults and athletes. This study aims to compare clinical results and complications between patients treated for FAI who underwent either arthroscopic or open treatment. Methods: The 7 studies were acquired from PubMed, Medline, Embase, and Cochrane Library. The data were extracted analyzed by RevMan5.3. Mean differences (MDs), odds ratios (ORs), and 95% confidence intervals (CIs) were calculated. The Newcastle–Ottawa Scale were used to assess risk of bias. Results: Seven observational studies were assessed. The methodological quality of the trials indicated a low risk of bias. The pooled results of the modified Harris Hip Score (mHHS), the Non-Arthritic Hip Score (NAHS), the Visual Analogue Scale (VAS), and satisfaction rate showed that the differences were not statistically significant between arthroscopic treatment (AT) and open treatment (OT). The difference of postoperative alpha angle was statistically significant, and OT was more effective [MD = 3.08, 95% confidence interval (95% CI) = 1.45–4.70, P = .0002]. The difference of postoperative internal rotation angle was statistically significant, and OT had better internal rotation angle (MD = -3.21, 95% CI = -6.14 to -0.28, P = .03). However, the difference of complications was statistically significant and AT achieved better result than OT (OR = 0.41, 95% CI = 0.22–0.74, P =0.003). Conclusion: AT had comparable effect and lower complications than OT, but had less improvement in alpha angle and internal rotation angle.

show abstract

“…Following a multi-criteria decision analysis, Diaz-Ledezma and Parvizi [19] concluded that a mini-open approach was preferred due to a typical association with lower costs [19]. However, Rego et al [20] in their series of 198 patients with cam FAI did not find any significant functional difference between those treated with either hip arthroscopy or open surgical hip dislocation [20]. Landsdown and colleagues [21] evaluated 707 patients who underwent surgery involving hip arthroscopy, concluding that measurement of the extent of the cam lesion was the strongest predictor of outcome following surgery [21].…”

Section: Results Of Surgery For Cam Deformitymentioning

confidence: 99%