Osteochondroplasty as a treatment of femoroacetabular impingement

Ortop Traumatol Rehabil. 2010 Nov-Dec;12(6):504-10.
[Article in English, Polish]

Abstract

Background: Femoroacetabular impingement (FAI) is a condition characterized by repetitive abnormal contact of the femoral acetabulum with the femoral head-neck region, which leads to the development of early-stage coxarthrosis. Early diagnosis and appropriate treatment of FAI can halt the development of coxarthrosis.

Material and methods: We present the early results of surgical treatment of 13 patients with FAI by osteochondroplasty of the head-neck region. An anterior approach to the hip joint was employed without surgical dislocation of the femoral head. The follow-up period ranged from 1.5 to 4 years. Clinical assessment was conducted according to the Harris classification. The FAI index was measured during radiographic evaluation.

Results: Clinical assessment revealed an improvement in 12 patients. Radiographically, the value of FAI index was normal in all the patients who underwent the surgery.

Conclusions: Osteochondroplasty of the head-neck region appears to be an effective treatment of FAI in early-stage coxarthrosis.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Female
  • Femoracetabular Impingement / complications
  • Femoracetabular Impingement / diagnosis*
  • Femoracetabular Impingement / surgery*
  • Hip Joint / surgery*
  • Humans
  • Male
  • Middle Aged
  • Orthopedic Procedures / methods*
  • Osteoarthritis, Hip / etiology
  • Osteoarthritis, Hip / prevention & control
  • Treatment Outcome