Arthroscopic femoral osteochondroplasty for cam lesions with isolated acetabular chondral damage

被引：81

作者：

Haviv, B. ^{[1
]}

Singh, P. J. ^{[1
]}

Takla, A. ^{[1
]}

O'Donnell, J. ^{[1
]}

机构：

[1] St Vincents & Mercy Private Hosp, Melbourne, Vic 3002, Australia

来源：

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2010年 / 92B卷 / 05期

关键词：

FEMOROACETABULAR IMPINGEMENT; HIP ARTHROSCOPY; OSTEOARTHRITIS; MICROFRACTURE; DISLOCATION; OUTCOMES; MINIMUM;

D O I：

10.1302/0301-620X.92B5.23667

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：

This study evaluates the outcome of arthroscopic femoral osteochondroplasty for cam lesions of the hip in the absence of additional pathology other than acetabular chondral lesions. We retrospectively reviewed 166 patients (170 hips) who were categorised according to three different grades of chondral damage. The outcome was assessed in each grade using the modified Harris Hip Score (MHHS) and the Non-Arthritic Hip Score (NAHS). Overall, at the last follow-up (mean 22 months, 12 to 72), the mean MHHS had improved by 15.3 points (95% confidence interval (CI), 8.9 to 21.7) and the mean NAHS by 15 points (95% CI, 9.4 to 20.5). Significantly better results were observed in hips with less severe chondral damage. Microfracture in limited chondral lesions showed superior results. Arthroscopic femoral osteochondroplasty for cam impingement with microfracture in selected cases is beneficial. The outcome correlates with the severity of acetabular chondral damage.

引用

页码：629 / 633

页数：5

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