Early clinical results of surgical treatment of patients with femoroacetabular impingement

Mladenovic, Desimir; Andjelkovic, Zoran; Vukašinović, Zoran; Mitković, Milorad; Milenković, Saša; Micić, Ivan; Mladenović, Marko Z.

doi:10.2298/sarh1406325m

Cited by 10 publications

(8 citation statements)

References 19 publications

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“…These studies all reported significant correction from pre operative alpha angles. The pooled mean femoral head-neck offset reported post-operatively was 10.3 ± 2.58 mm (range 6.0-18.1 mm) across four studies [10,34,40,41], while Graves and Mast [39] did not report discrete values but stated that the offset returned to normal. Mean head-neck offset ratio was reported in two studies to be 0.21 [32] and 0.17 [41] postoperatively.…”

Section: Cam-type Faimentioning

confidence: 95%

“…Three studies compared arthroscopic management with open surgical FAI treatment [34][35][36], while one study compared open surgical correction with a control group of normal radiographs [37]. The remaining studies reported either arthroscopic combined with open surgical approaches [9][10][11] or open surgical procedures only [13,32,33,[38][39][40][41][42][43][44][45]. Table 1 lists descriptive characteristics of the studies included for analysis.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The pooled mean ± standard deviation post-operative alpha angle measured on lateral radiographs was 41.9°± 5.48°( range 24°-84°) [9-11, 32, 34-36, 38, 40, 41, 45]. Four studies also reported post-operative alpha angles as calculated on anteroposterior radiographs, and the pooled mean reported value was 50.8°± 10.34°(range 29°-103°) [9,34,35,40]. These studies all reported significant correction from pre operative alpha angles.…”

Section: Cam-type Faimentioning

confidence: 99%

“…In 14 of the 18 included studies, other functional outcomes were reported. These include Harris Hip Score [9-11, 13, 33, 38, 41, 42, 44], range of motion [10,32,38,40,43,44], WOMAC [32,38,40,44], Merle d'Aubigne-Postel score [39,43,44], Non Arthritic Hip Score [9,36,38], UCLA Activity score [9,32,44], Visual Analog Scale [11,38], Hip Outcome Score [32], and the Devane Activity Classification [38].…”

Section: Other Outcomesmentioning

confidence: 99%

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Radiographic outcomes following femoroacetabular impingement correction with open surgical management: a systematic review

Martin

Dzaja

Kay

et al. 2016

Curr Rev Musculoskelet Med

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Femoroacetabular impingement (FAI) is a common cause of hip pain, and open surgical approaches remain an important treatment option for FAI. This systematic review of the literature sought to determine what post-operative radiographic outcomes have been reported following open surgical correction of FAI. After screening and full-text review, 18 studies involving 1192 hips in 1084 patients were included for analysis. In total, 24 radiological outcomes were reported. CAM-type FAI was most frequently assessed using the alpha angle (61.1 %) and head-neck offset/head-neck offset ratio (33.3 %). Lateral center edge angle (27.8 %) and the acetabular index (22.2 %) were the most commonly reported outcomes for pincer-type FAI. The results of this review suggest that reporting of post-operative radiographic outcomes is variable, that no single radiographic parameter is optimal, and that the clinician must use a combination of reproducible measurements, together with their clinical examination, to confirm adequate restoration of normal hip morphology.

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Section: Cam-type Faimentioning

confidence: 95%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Cam-type Faimentioning

confidence: 99%

Section: Other Outcomesmentioning

confidence: 99%

See 2 more Smart Citations

Radiographic outcomes following femoroacetabular impingement correction with open surgical management: a systematic review

Martin

Dzaja

Kay

et al. 2016

Curr Rev Musculoskelet Med

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“…Femoroacetabular impingement (FAI) is the cause of the hip pain in young adults and is a potential cause of a hip arthrosis development [1][2][3][4][5][6][7][8][9] . The minimal bone changes of the proximal femur and/or acetabulum combined with FAI as a pathophysiological mechanism, lead to an early labrum lesion and adjacent cartilage.…”

Section: Introductionmentioning

confidence: 99%

Femoroacetabular impingement after the femoral neck fracture healed in a nonanatomical position

et al. 2019

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Introduction. Femoroacetabular impingement is the result of the pathological conditions in the osseous acetabulum and/or the proximal femur. One of its causes is a non-anatomically healed femoral neck fracture. Case report. A male, aged 51, with a subcapital left femoral neck fracture was treated conservatively. The fracture healed 9 months later and although the patient was walking on crutches he suffered from pain in the left groin. The X-ray images showed the valgus and the retroposition of the left femoral head. The patient was operated on and intraoperatively the thickness and a bone prominence in the anterosuperior femoral neck area in the line of the previous fracture were found, which was pressing and spreading beneath the acetabular labrum, thus squeezing the acetabular cartilage. The labrum lesion which was found was the result of the mechanical pressure of the existing femoral neck deformity during the hip movements. Irretrievably damaged part of the labrum was resected and the anterosuperior femoral headneck osteochondroplasty was done. One year after the surgery, the patient had no pain, he walked without limping, the impingement test was negative, the radiological parameters were adjusted and there were no signs of the avascular necrosis of the femoral head. Conclusion. The femoral neck fracture should be treated adequately with the full anatomical position and the proper internal fixation. If the deformity occurs as the result of a treatment, it should be removed as soon as possible to prevent the osteoarthritis of the hip.

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Prevalence of femoro-acetabular impingement in non-arthritic patients with hip pain: a meta-analysis

Jauregui

Salmons

Meredith

et al. 2020

International Orthopaedics (SICOT)

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Early clinical results of surgical treatment of patients with femoroacetabular impingement

Abstract: Postoperative results have shown that the surgical approach to treating patients with femoroacetabular impingement is the method of choice. Three operated patients, with advanced osteoarthritis of the hip, had to be converted to total hip replacement.

Cited by 10 publications

References 19 publications

Radiographic outcomes following femoroacetabular impingement correction with open surgical management: a systematic review

Radiographic outcomes following femoroacetabular impingement correction with open surgical management: a systematic review

Femoroacetabular impingement after the femoral neck fracture healed in a nonanatomical position

Prevalence of femoro-acetabular impingement in non-arthritic patients with hip pain: a meta-analysis

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