Arthroscopic Treatment of Femoroacetabular Impingement of the Hip: A New Technique to Access the Joint View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2010-01

AUTHORS

Monika Horisberger, Alexander Brunner, Richard F. Herzog

ABSTRACT

Femoroacetabular impingement has been established as an important cause of groin pain and limitation of range of motion in young, active patients and a possible cause for early osteoarthritis of the hip. Open surgery is a well-recognized approach for treatment and probably the standard for most surgeons, but recent reports regarding arthroscopic treatment procedures suggest comparable results. We present a technique that provides a way to securely penetrate the joint capsule and evaluate the clinical results of this technique in patients with femoroacetabular impingement. Between 2004 and 2007, we prospectively followed a cohort of 105 hips (88 patients; 60 males, 28 females) who underwent surgery for symptomatic cam or mixed femoroacetabular impingement. All patients were evaluated for the Nonarthritic Hip Score, clinical parameters, visual analog scale pain score, initial radiographic degenerative changes, and alpha angle. At a minimum followup of 1.3 years (average, 2.3 years; range, 1.3-4.1 years), all clinical outcome measures improved. The Nonarthritic Hip Score improved from 56.7 points (range, 15-92.5 points) to 84.6 points (range, 47.5-100 points). Nine patients (8.6%) underwent THA during followup. The outcome measures after arthroscopic therapy for femoroacetabular impingement seem comparable to those reported after open procedures. LEVEL OF EVIDENCE: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence. More... »

PAGES

182-190

References to SciGraph publications

  • 2008-02. Hip Damage Occurs at the Zone of Femoroacetabular Impingement in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2006-01. Arthroskopische Behandlung des femoroazetabulären Impingements in DER ORTHOPÄDE
  • 2007-08. The arthroscopic management of femoroacetabular impingement in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2009-03. Arthroscopic Femoroplasty in the Management of Cam-type Femoroacetabular Impingement in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2009-03. Complications of Arthroscopic Femoroacetabular Impingement Treatment: A Review in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2007-07-19. Femoroacetabular impingement in 45 professional athletes: associated pathologies and return to sport following arthroscopic decompression in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11999-009-1005-5

    DOI

    http://dx.doi.org/10.1007/s11999-009-1005-5

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1029634395

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/19641976


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