Analysis of Surgical Treatment Outcomes in Femoroacetabular Impingement Syndrome.

Objective: We aimed to investigate the clinical outcomes of femoroacetabular impingement syndrome (FAIS) cases who underwent reconstruction with safe hip dislocation. Material and Methods: Between 2006 and 2009, 13 male cases diagnosed with FAIS, whose anterior impingement sign was positive without...

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Publicado en:Turkiye Klinikleri Journal of Medical Sciences Vol. 32; no. 5; pp. 1201 - 1207
Autores principales: BÜLBÜL, Murat, UZUN, Metin, AYANOLU, Semih, IMREN, Yunus, ÖZTÜRK, Kahraman, GÜRBÜZ, Hakan
Formato: diagnostic images research tables/charts Journal Article
Publicado: Turkiye Klinikleri Oct2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2012
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        2011758889
        10.5336/medsci.2010-21197
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        atl: Analysis of Surgical Treatment Outcomes in Femoroacetabular Impingement Syndrome.
      aug:
        au:
          BÜLBÜL, Murat
          UZUN, Metin
          AYANOLU, Semih
          IMREN, Yunus
          ÖZTÜRK, Kahraman
          GÜRBÜZ, Hakan
        affil: Ortopedi ve Travmatoloji Klinigi, Vakif Gureba Egitim ve Arastirma Hastanesi
      sug:
        subj:
          Hip Surgery Methods
          Osteoarthritis, Hip Surgery
          Adult
          Clinical Assessment Tools
          Descriptive Statistics
          Human
          Male
          Middle Age
          Orthopedic Fixation Devices
          Treatment Outcomes
          Wilcoxon Signed Rank Test
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
      ab: Objective: We aimed to investigate the clinical outcomes of femoroacetabular impingement syndrome (FAIS) cases who underwent reconstruction with safe hip dislocation. Material and Methods: Between 2006 and 2009, 13 male cases diagnosed with FAIS, whose anterior impingement sign was positive without hip dysplasia were included in the study. Posterior impingement test was positive in five cases. Mean age was 39.3 years (range 32-47). Pre- and post-surgical radiological investigation included hip antero-posterior and false profile x-rays in all cases. In the preoperative period, all cases had femur type impingement except one case with acetabulum type impingement. Radiological investigation revealed cross-over sign and posterior acetabuler wall insufficiency in all cases. Harris hip scoring system was used for functional asseessment. Surgical dislocation was performed as described by Ganz et al. Trochanteric osteotomy line was fixed with two cannulated screws. Results: In all cases femoral impingement cause was eliminated during the operation. Only one case had Pincer lesion, complete degeneration and dissociation that required Labrum resection. There was no nonunion following trochanteric osteotomy. The preoperative mean Harris hip score in 13 cases changed from 63.24 (range 55-70) to 89.75 (range 72-98) two years after the operation. Statistical analysed including the Wilcoxon Signed Ranks test revealed highly significant (p<0.001) differences between pre- and post-operative Harris scorings. Postoperative impingement tests were negative in all cases. Conclusion: Surgical treatment of cases with FAIS with safe hip dislocation was promising. We suggest that safe surgical dislocation is a proper method for treatment as the complication/clinical improvement ratio is in favor of clinical improvement in cases with FAIS.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Turkish
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