Femoroacetabular impingement syndrome—efficacy of surgical treatment with regards to age and basic diagnosis
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  • 作者:Petr Chládek ; Martin Musálek ; Tomá? Tr? ; Petr Zahradník…
  • 关键词:Femoroacetabular impingement ; Results ; Surgical hip dislocation ; Anterior mini ; invasive approach
  • 刊名:International Orthopaedics
  • 出版年:2015
  • 出版时间:March 2015
  • 年:2015
  • 卷:39
  • 期:3
  • 页码:417-422
  • 全文大小:370 KB
  • 参考文献:1. Beck, M, Kalhor, M, Leunig, M, Ganz, R (2005) Hip morphology influences the pattern of damage to the acetabular cartilage: femorocetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg (Br) 87-B: pp. 1012-1018 CrossRef
    2. Chládek, P, Tr?, T (2010) Die avaskulaere Femurkopfnekrose bei Jungen Erwachsenen. Zweistufiges Vorhegen mittels Forage und remodellierender Osteochondroplastik. Osteologie 19: pp. 40-45
    3. Ganz, R, Bamert, P, Hausner, P, Isler, B, Vrevc, F (1991) Cervico-acetabular impingement after femoral neck fracture. Unfallchirurg 94: pp. 172-175
    4. Ganz, R, Parvizi, J, Beck, M, Leunig, M, Notzli, H, Siebenrock, KA (2003) Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res 417: pp. 112-120
    5. Kutty, S, Schneider, P, Faris, P, Kiefer, G, Frizzell, B, Park, R, Powell, JN (2012) Reliability and predictability of the centre-edge angle in the assessment of pincer femoroacetabular impingement. Int Orthop 36: pp. 505-510 CrossRef
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    13. Chládek, P, Salaj, M, Druga, R, Tr?, T (2013) Cévní zásobení ky?elního kloubu - p?ehled literatury a vlastní pozorování. Ortopedie 7: pp. 13-18
    14. Bellamy, N, Buchanan, WW, Goldsmith, CH, Campbell, J, Stitt, LW (1988) Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 15: pp. 1833-1840
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    16. Papalia, R, Buono, A, Franceschi, F, Marinozzi, A, Maffulli, N, Denaro, V (2012) Femoroacetabular impingement syndrome management: arthroscopy or open surgery?. Int Orthop 36: pp. 903-914 CrossRef
    17. Ganz, R, Klaue, K, Vinh, TS, Mast, JW (1988) A new periacetabular osteotomy for the treatment of hip dysplasias. Technique and preliminary results. Clin Orthop Relat Res 232: pp. 26-36
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  • 刊物类别:Medicine
  • 刊物主题:Medicine & Public Health
    Orthopedics
  • 出版者:Springer Berlin / Heidelberg
  • ISSN:1432-5195
文摘
Purpose The aim of this study was to assess the outcome of hip preserving surgery for femoroacetabular impingement relative to the condition resulting in FAI and to the patient’s age at the time of the surgery. Methods With the conditions for exclusion duly met, enrolled in our study were a total of 100 hip joints (83 operated on with the aid of SHD, 17 with AMIS). The minimum follow-up period was 12?months, and the mean follow-up time was three years four months. WOMAC and NAHS questionnaires were used as rating instruments. To analyse the significance of the differences relative to the age at the time of surgery and to the basic diagnosis leading to FAI and subsequently to surgical operation we used non-parametric forms of analysis of variance (Friedman test and Kruskal-Wallis test), i.e., comparisons of the patients-pre-operative and postoperative states, estimation of the rate of improvement in the postoperative functional skills in relation to the age at the time of surgery and/or relative to the basic diagnosis necessitating surgical intervention, with respect to statistical significance at the level of p--.05. Results As testing of our cohort of patients and results analysis showed, the youngest group ( Conclusions The results of the study affirm the relevance of hip preserving surgery, especially in younger-aged groups.

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