Radiographic outcomes following femoroacetabular impingement correction with open surgical management: a systematic review

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• 作者：R. Kyle Martin ; Ivan Dzaja ; Jeffrey Kay…
• 关键词：Femoroacetabular impingement ; Surgical hip dislocation ; Radiographic outcomes ; Osteochondroplasty
• 刊名：Current Reviews in Musculoskeletal Medicine
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：9
• 期：4
• 页码：402-410
• 全文大小：
• 刊物主题：Orthopedics; Sports Medicine; Rehabilitation Medicine; Surgical Orthopedics; Minimally Invasive Surgery; Surgery;
• 出版者：Springer US
• ISSN：1935-9748
• 卷排序：9

文摘

Femoroacetabular impingement (FAI) is a common cause of hip pain, and open surgical approaches remain an important treatment option for FAI. This systematic review of the literature sought to determine what post-operative radiographic outcomes have been reported following open surgical correction of FAI. After screening and full-text review, 18 studies involving 1192 hips in 1084 patients were included for analysis. In total, 24 radiological outcomes were reported. CAM-type FAI was most frequently assessed using the alpha angle (61.1 %) and head-neck offset/head-neck offset ratio (33.3 %). Lateral center edge angle (27.8 %) and the acetabular index (22.2 %) were the most commonly reported outcomes for pincer-type FAI. The results of this review suggest that reporting of post-operative radiographic outcomes is variable, that no single radiographic parameter is optimal, and that the clinician must use a combination of reproducible measurements, together with their clinical examination, to confirm adequate restoration of normal hip morphology.