Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26401501
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Extracapsular approach for arthroscopic treatment of femoroacetabular
impingement: clinical and radiographic results and complications
#MMPMID26401501
Roos BD
; Roos MV
; Júnior AC
; Lima EM
; Gyboski DP
; Martins LS
Rev Bras Ortop
2015[Jul]; 50
(4
): 430-7
PMID26401501
show ga
OBJECTIVES: To evaluate the clinical and radiographic results and complications
relating to patients undergoing arthroscopic treatment for femoroacetabular
impingement by means of an extracapsular approach. METHODS: Between January 2011
and March 2012, 49 patients (50 hips) underwent arthroscopic treatment for
femoroacetabular impingement, performed by the hip surgery team of the Orthopedic
Hospital of Passo Fundo, Rio Grande do Sul. Forty patients (41 hips) fulfilled
all the requirements for this study. The mean follow-up was 29.1 months. The
patients were assessed clinically by means of the Harris Hip score, as modified
by Byrd (MHHS), the Non-Arthritic Hip score (NAHS) and the internal rotation of
the hip. Their hips were also evaluated radiographically, with measurement of the
CE angle, dimensions of the joint space, alpha angle, neck-head index, degree of
arthrosis and presence of heterotopic ossification of the hip. RESULTS: Out of
the 41 hips treated, 31 (75.6%) presented good or excellent clinical results.
There was a mean postoperative increase of 22.1 points for the MHHS, 21.5 for the
NAHS and 16.4? for the internal rotation of the hip (p < 0.001). Regarding the
radiographic evaluation, correction to normal values was observed for the alpha
angle and neck-head index, with a mean postoperative decrease of 32.9? and mean
increase of 0.10, respectively (p < 0.001). CONCLUSION: Arthroscopic treatment of
femoroacetabular impingement by means of an extracapsular approach presented
satisfactory clinical and radiographic results over a mean follow-up of 29.1
months, with few complications.