Short-medium outcomes of the head-acetabularplasty efficacy in the treatment of femoroacetabular impingement (FAI) with hip arthroscopy
LI Jie, LI Fei-long, FENG Wen-jun, ZENG Jian-chun, CHEN Jin-lun, ZENG Yi-rong
Chinese Journal of Clinical Anatomy ›› 2018, Vol. 36 ›› Issue (5) : 578-581.
Short-medium outcomes of the head-acetabularplasty efficacy in the treatment of femoroacetabular impingement (FAI) with hip arthroscopy
Objective To investigate the head-acetabularplasty efficacy in the treatment of femoroacetabular impingement (FAI) with hip arthroscopy. Methods A total of 30 patients (30 hips) who were diagnosed as FAI between January 2012 and December 2016 FAI were retrospectively reviewed , which consisted of 19 men and 11 women at an average of 34.91 years old (ranging from 22 years old to 50 years old). According the types of impingement, there were three types among them, which include 18 cases of Cam, 6 cases of Pincer and 6 cases of both. Clinical outcomes were assessed through the Harris Hip Score (HHS) of per-and post-operation and postoperative follow-ups were also performed. Results All patients were followed up completely, the mean follow-up time in the arthroscopy group were 43.2 months (ranging from 34 months to 51 months). The preoperative HHS was (65.7±6.3), which was improved to (74.5±6.0), (79.2±6.1), (82.5±6.1) and (83.1±8.2) 3 months, 6 months, 12 months after the surgery and final follow-up, respectively. All the postoperative improvements were of statistical significance (P <0.05). No major complications occurred during perioperative period and follow-up, and no cases converted to total hip arthroplasty. Conclusions The hip arthroscopy procedure shows advantages of minimal invasion with certain efficacy of relieving pain, improving hip function and modified OA progression aimed to delay THA surgeries. Thus, we recommend that mini-invasive hip arthroscopy surgery might be an optimal procedure in treating FAI.
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