Treatment of Femoroacetabular Impingement with Surgical Dislocation.
10.4055/cios.2009.1.3.146
- Author:
Ho Hyun YUN
1
;
Won Yong SHON
;
Ji Yeol YUN
Author Information
1. Department of Orthopedic Surgery, Guro Hospital, Korea University School of Medicine, Seoul, Korea. shonwy@hotmail.com
- Publication Type:Original Article
- Keywords:
Hip;
Femoroacetabular impingement;
Surgical dislocation
- MeSH:
Acetabulum/surgery;
Adult;
Female;
Femoracetabular Impingement/radiography/*surgery;
Femur Head/surgery;
Humans;
Ligaments, Articular/surgery;
Male;
Middle Aged;
Orthopedic Procedures/methods;
Osteotomy;
Treatment Outcome;
Young Adult
- From:Clinics in Orthopedic Surgery
2009;1(3):146-154
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: The authors report the results of femoroacetabular impingement (FAI) treated with a surgical dislocation. METHODS: From April 2005 to May 2007, 15 FAI hips were treated with a surgical dislocation. The male/female ratio, mean age and mean symptom duration was 12/2, 35.8 years and 2.3 years, respectively. Radiographs and MR arthrograms were taken. The clinical evaluation involved changes in the pre- and postoperative Harris hip score (HHS). RESULTS: There were 12 hips (80%) with at least one structural abnormality in the radiographs, with 11 (79%) labral tears and 8 (73%) abnormally high angles in the MR arthrograms. We performed 15 osteochondroplasties, 12 labral repairs, 12 acetabuloplasty, and 3 debridements. The mean HHS improved from 76 to 93 points. Three non-unions of the trochanteric osteotomy sites were encountered as complications. CONCLUSIONS: Radiographs and MR arthrograms are important for making a proper diagnosis of FAI and planning treatment. A surgical dislocation can be used to treat FAI but further technical improvements will be needed for fixation of the greater trochanteric osteotomy sites.
