[Resection at symptomatic cam impingement. Use of a minimally invasive antero-lateral approach].

Weihs, J; Scacchi, P; Hess, R; Albers, CE (2016). [Resection at symptomatic cam impingement. Use of a minimally invasive antero-lateral approach]. Orthopäde, 45(4), pp. 349-354. Springer-Medizin-Verlag 10.1007/s00132-015-3180-2

[img] Text
art_10.1007_s00132-015-3180-2.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (532kB) | Request a copy

BACKGROUND Surgical treatment of femoroacetabular impingement (FAI) is nowadays achieved by either open surgical hip dislocation or hip arthroscopy. However, drawbacks of both procedures include the invasiveness of the open procedure and a high learning curve to successfully perform arthroscopic treatment. In our institution, we established a minimally invasive, arthroscopically assisted, antero-lateral approach for the correction of cam type FAI. OBJECTIVES The goal of the study was to describe the surgical technique and highlight the short-term clinical outcome in a consecutive series of patients operated between 2011 and 2014 in our institution. MATERIALS AND METHODS In total, 77 patients were included in this study. The patients were allocated to two groups (Toennis = 0: Group I; Toennis 1 and 2: Group II). Clinical and radiographic follow up was obtained at 6 and 12 weeks postoperatively. Clinical outcome was assessed using the Hip-Outcome-Score. RESULTS The mean age of patients in Group I was 25 (16-48) years and in Group II 38 (17-50) years respectively. Internal rotation (IR) in 90° flexion increased by 11 degrees from pre- to postoperatively in Group I (p < 0.001) and by 14° in Group II (p < 0.001). The Hip Outcome Score revealed the ability to perform sports with reduced pain at three months follow up. Subjectively, all patients benefitted in terms of pain and hip function in both groups (p < 0.001). There were no complications with long-term morbidity during the perioperative course. CONCLUSION Arthroscopically assisted cam resection using a minimally invasive anterolateral approach is a safe technique for the treatment of FAI. At short term follow up, nearly all operated patients seem to benefit in terms of pain and hip function. The influence of progression of osteoarthritis still has to be shown.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Orthopädische Chirurgie
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Orthopädische Chirurgie

UniBE Contributor:

Weihs, Johannes; Scacchi, Philipp and Albers, Christoph

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0085-4530

Publisher:

Springer-Medizin-Verlag

Language:

German

Submitter:

Lilianna Bolliger

Date Deposited:

27 Apr 2017 11:12

Last Modified:

20 Jul 2017 12:27

Publisher DOI:

10.1007/s00132-015-3180-2

PubMed ID:

26472111

Uncontrolled Keywords:

Arthroscopic surgery; Femoroacetabular impingement; Hip displacement; Joint flexibility; Pain

BORIS DOI:

10.7892/boris.94778

URI:

https://boris.unibe.ch/id/eprint/94778

Actions (login required)

Edit item Edit item
Provide Feedback