Clinical outcomes of hip arthroscopic treatment for femoroacetabular impingement:a comparative study between Inside-out and Outside-in approach.
10.12200/j.issn.1003-0034.2021.12.010
- Author:
Ming-Jin ZHONG
1
;
Kan OUYANG
1
;
Liang-Quan PENG
1
;
Kang CHEN
1
;
Hai-Feng LIU
1
;
Zhen-Han DENG
1
;
Wei-Min ZHU
1
;
Wei LU
1
Author Information
1. Department of Sports Medicine, the Second People's Hospital of Shenzhen University, Shenzhen 518000, Guangdong, China.
- Publication Type:Journal Article
- Keywords:
Arthroscopic technique;
Clinical outcomes;
Femoroacetabular impingement;
Hip joint
- MeSH:
Adult;
Arthroscopy;
Female;
Femoracetabular Impingement/surgery*;
Follow-Up Studies;
Hip Joint/surgery*;
Humans;
Male;
Middle Aged;
Retrospective Studies;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2021;34(12):1141-1146
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare the clinical outcomes and complications of hip arthroscopic treatment for femoroacetabular impingement (FAI) performed with either Inside-out or Outside-in approach.
METHODS:The clinical date of 48 patients with FAI treated by hip arthroscopy surgery and follow-up from June 2016 to June 2019 were retrospectively analyzed. According to the different operative methods, the patients were divided into two groups. Inside-out group, from central compartment to peripheral compartment;Outside-in group, from peripheral compartment to central compartment. There were 14 males and 10 females in Inside-out group with an averageage of (39.8±7.6)years old, 13 males and 11 females in Inside-out group with an average age of (39.5±9.1)years old in Outside-in group. There was no significant difference in age, gender, body mass index, side, impingement type, medical history and follow-up time between the two groups. The complication occurrence rate, modified Harris hip score (mHHS)and nonarthritic hip score (NAHS) were compared between these two groups.
RESULTS:The mHHs and NAHS scores of the two groups were significantly higher than those before operation, but there was no significant difference between the two groups (
CONCLUSION:Both hip arthroscopic surgery methods can obtain satisfactory clinical efficacy in the treatment of FAI, but the incidence of postoperative complications of Outside-in surgical method is lower. The out-side in method can be preferentially selected for the patients with the indications of operation.
