Therapeutic effect of femoral acetabular impact syndrome under the hip arthroscopy and analysis of X-ray indicators
10.3969/j.issn.1007-1989.2018.06.006
- VernacularTitle:髋关节镜下治疗股骨髋臼撞击综合征的疗效及其X线指标分析
- Author:
Zhi-Huan LUO
1
;
Xia-Guang CHEN
;
Shao-Jian CHEN
;
Rui QIAN
;
Shi-Liang XIAO
;
Dao-Xin ZHU
;
Zhen-Yu LIU
Author Information
1. 江西省赣州市人民医院 关节外科
- Keywords:
hip arthroscopy;
femoral acetabular impact syndrome;
X-ray indicators;
visual analog scale;
Harris score
- From:
China Journal of Endoscopy
2018;24(6):29-35
- CountryChina
- Language:Chinese
-
Abstract:
Objective?To analyze the clinical efficacy and related X-ray findings of patients underwent arthroscopic treatment of femoral acetabular impingement (FAI) syndrome with different anatomical features.?Methods?Twenty-four patients with FAI underwent arthroscopic surgery from September 2015 to December 2016 were selected to analyze the clinical features, postoperative pain, knee joint function, activity and complications.?Results?Compared with those before treatment, the visual analogue scale (VAS) scores of patients at 7 d, 1 month, 3 months and 6 months after treatment were significantly lower than those before treatment, while the Harris scores were significantly increased, at the same time patients’ knee activity was significantly increased, The difference was statistically significant (P < 0.05). The α angle of the hip joint of the cam-type patient was significantly higher than that of the jaw-type, while the eccentricity, acetabular depth, acetabular coverage and centerline (CE) angle were significantly lower than the jaw-type, and the difference was statistically significant (P < 0.05); The α angle of the cam-type patient was significantly higher than that of the healthy person’s hip joint, and the eccentricity was significantly lower than that of the healthy person’s hip joint. The difference was statistically significant (P < 0.05); the acetabular depth and hip of the clamp-type patient Radon coverage and CE angle were higher than those of hip joints in healthy people, and the difference was statistically significant (P < 0.05). There was no significant difference in acetabular anterior tilt between the three groups (P > 0.05). The incidence of complications in 24 patients underwent arthroscopy was 20.83%.?Conclusion?Hip arthroscopic treatment of hip impingement syndrome can shorten the patient’s pain relief, improve knee function and activity, its effect is good, and different hip anatomical X-ray film was significantly different.
