Femoroacetabular impingement syndrome-efficacy of surgical treatment with regards to age and basic diagnosis

被引:5
作者
Chladek, Petr [1 ]
Musalek, Martin [2 ]
Trc, Tomas [1 ]
Zahradnik, Petr [2 ]
Kos, Petr [1 ]
机构
[1] Charles Univ Prague, Teaching Hosp Motol, Dept Orthopaed, Paediat & Adult Orthopaed & Traumatol,Sch Med 2, Prague, Czech Republic
[2] Charles Univ Prague, Fac PT & Sports Prague, Prague, Czech Republic
关键词
Femoroacetabular impingement; Results; Surgical hip dislocation; Anterior mini-invasive approach; ACETABULAR IMPINGEMENT; HIP; OSTEOARTHRITIS; OUTCOMES;
D O I
10.1007/s00264-014-2574-9
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose The aim of this study was to assess the outcome of hip preserving surgery for femoroacetabular impingement relative to the condition resulting in FAI and to the patient's age at the time of the surgery. Methods With the conditions for exclusion duly met, enrolled in our study were a total of 100 hip joints (83 operated on with the aid of SHD, 17 with AMIS). The minimum follow-up period was 12 months, and the mean follow-up time was three years four months. WOMAC and NAHS questionnaires were used as rating instruments. To analyse the significance of the differences relative to the age at the time of surgery and to the basic diagnosis leading to FAI and subsequently to surgical operation we used non-parametric forms of analysis of variance (Friedman test and Kruskal-Wallis test), i.e., comparisons of the patients' pre-operative and postoperative states, estimation of the rate of improvement in the postoperative functional skills in relation to the age at the time of surgery and/or relative to the basic diagnosis necessitating surgical intervention, with respect to statistical significance at the level of p < 0.05. Results As testing of our cohort of patients and results analysis showed, the youngest group (< 30 years) compared with the rest of the cohort shows greater postoperative improvement and consequently also a better surgical result. Proof was also obtained that the diagnosis leading to surgery for FAI has no effect on the patient's pre- or postoperative state or on the degree of improvement. Conclusions The results of the study affirm the relevance of hip preserving surgery, especially in younger-aged groups.
引用
收藏
页码:417 / 422
页数:6
相关论文
共 30 条
[1]   Hip morphology influences the pattern of damage to the acetabular cartilage - Femoroacetabular impingement as a cause of early osteoarthritis of the hip [J].
Beck, M ;
Kalhor, M ;
Leunig, M ;
Ganz, R .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2005, 87B (07) :1012-1018
[2]  
BELLAMY N, 1988, J RHEUMATOL, V15, P1833
[3]   Sports and Recreation Activity of Patients With Femoroacetabular Impingement Before and After Arthroscopic Osteoplasty [J].
Brunner, Alexander ;
Horisberger, Monika ;
Herzog, Richard F. .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2009, 37 (05) :917-922
[4]   Experimental study of an original radiographic view for diagnosis of cam-type anterior femoroacetabular impingement [J].
Cavaignac, Etienne ;
Chiron, Philippe ;
Espie, Alois ;
Reina, Nicolas ;
Lepage, Benoit ;
Laffosse, Jean-Michel .
INTERNATIONAL ORTHOPAEDICS, 2012, 36 (09) :1783-1788
[5]  
Chládek P, 2010, OSTEOLOGIE, V19, P40
[6]  
CHLADEK P., 2013, ORTOPEDIE, V7, P13
[7]   The nonarthritic hip score: Reliable and validated [J].
Christensen, CP ;
Althausen, PL ;
Mittleman, MA ;
Lee, JA ;
McCarthy, JC .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2003, (406) :75-83
[8]   ARTERIAL SUPPLY OF DEVELOPING PROXIMAL END OF HUMAN FEMUR [J].
CHUNG, SMK .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1976, 58 (07) :961-970
[9]   Surgical Treatment of Femoroacetabular Impingement A Systematic Review of the Literature [J].
Clohisy, John C. ;
St John, Lauren C. ;
Schutz, Amanda L. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2010, 468 (02) :555-564
[10]  
Cohen J., 1988, Statistical power analysis for the behavioral sciences, VSecond