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>Journals >Acta Ortopédica Mexicana >Year 2009, Issue 2


Treviño-Garza Ó, Rivas-Fernández M, Marín-Peña O, Esteban-Ledezma R, Vilarubias-Guillament JM
Treatment of femoro-acetabular impingement by a minimally invasive approach. Results at 2 years follow-up
Acta Ortop Mex 2009; 23 (2)

Language: Español
References: 39
Page: 57-69
PDF: 4. Kb.

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ABSTRACT

Introduction: Surgical treatment of femoroacetabular impingement (FAI) is becoming a worldwide current practice. In this work we describe our developed minimal-invasive anterior technique as well as the results obtained in our first 117 patients. Material and methods: We evaluated our first 117 operated hips in 115 patients, who underwent to femoroacetabular osteoplasty through minimally invasive anterior approach with a minimal follow up of 2 years. Hips were divided into 3 groups according to radiological Tönnis classification: 32 cases were included in group A (stage 0), 61 cases in group B (stage 1), 24 cases in group C (stage 2). A combined score method (Dexeus Combined Score) was used to compare these groups at 3 months, 6 months and 1 year and each subsequent year. Results: In 30 cases (93.7%) group A, 56 (91.8%) group B and 14 (58.3%) group C satisfactory result was obtained at 6 months, without significant changes over the year (96.8%, 91.8%, 54.1% respectively). After 2 years same behaviour was observed in groups A and B, exception made with group C (96.8%, 93.4%, 45.8% respectively). Differences between groups A and B when compared to group C were statistically significant (p ‹ 0.01). No statistical difference was observed between groups A and B (p › 0.05). Conclusions: Patients improve in their clinical and functional scores. However these results differed in patients with Tönnis stage 0 and 1 when compared to Tönnis 2. Thus, it seems reasonable to recommend to symptomatic patients surgical treatment of FAI as early as it appears.


Key words: osteoarthritis, hip, femoro-acetabular impingement.





>Journals >Acta Ortopédica Mexicana >Year 2009, Issue 2
 
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