Treatment of Femoroacetabular Impingement with Surgical Dislocation
Clinics in Orthopedic Surgery
;
: 146-154, 2009.
Artículo
en Inglés
| WPRIM
| ID: wpr-76419
ABSTRACT
BACKGROUND:
The authors report the results of femoroacetabular impingement (FAI) treated with a surgical dislocation.METHODS:
From April 2005 to May 2007, 15 FAI hips were treated with a surgical dislocation. The male/female ratio, mean age and mean symptom duration was 12/2, 35.8 years and 2.3 years, respectively. Radiographs and MR arthrograms were taken. The clinical evaluation involved changes in the pre- and postoperative Harris hip score (HHS).RESULTS:
There were 12 hips (80%) with at least one structural abnormality in the radiographs, with 11 (79%) labral tears and 8 (73%) abnormally high angles in the MR arthrograms. We performed 15 osteochondroplasties, 12 labral repairs, 12 acetabuloplasty, and 3 debridements. The mean HHS improved from 76 to 93 points. Three non-unions of the trochanteric osteotomy sites were encountered as complications.CONCLUSIONS:
Radiographs and MR arthrograms are important for making a proper diagnosis of FAI and planning treatment. A surgical dislocation can be used to treat FAI but further technical improvements will be needed for fixation of the greater trochanteric osteotomy sites.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Osteotomía
/
Resultado del Tratamiento
/
Procedimientos Ortopédicos
/
Cabeza Femoral
/
Pinzamiento Femoroacetabular
/
Acetábulo
/
Ligamentos Articulares
Límite:
Adulto
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Clinics in Orthopedic Surgery
Año:
2009
Tipo del documento:
Artículo
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