Arthroscopic Treatment in Femoroacetabular Impingement Syndrome
Keywords:
arthroscopy, hip joint, articular ligaments, operative surgical procedures.Abstract
Introduction: Femoroacetabular impingement is an important cause of pain and early osteoarthritis of the hip, especially in young patients. The treatment of this condition is usually surgical, both through the open or arthroscopic approach.Objective: To evaluate the efficacy of arthroscopic management of femoroacetabular impingement.
Methods: An observational, descriptive, longitudinal, prospective study was carried out on 41 patients at Frank País International Orthopedic Scientific Hospital from June 1, 2016 to June 30, 2018 for presenting femoroacetabular impingement syndrome, treated by arthroscopy.
Results: The mixed-type femoroacetabular impingement syndrome was the one that reported the largest number of cases, the right hip was the most affected. More than half of the study sample were older than 50 years and the female sex was slightly higher. The best results were obtained in patients under 50 years of age. The most frequent complication was superficial infection, which occurred in two cases.
Conclusions: Arthroscopic examination is vital to detect and treat this condition. Treatment is determined by different factors such as age, degree of hip involvement, associated injuries, activity of the patient and type of injury.
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References
Yi PH, Cross MB, Moric M, Sporer SM, Berger RA. The 2013 Frank Stinchfield Award: Diagnosis of Infection in the Early Postoperative Period After Total Hip Arthroplasty. Clin Orthop Relat Res. 2014. 1(472): 424-9.
Bozic KJ, Kamath AF, Ong K, Lau E, Kurtz S, Chan V. Comparative Epidemiology of Revision Arthroplasty: Failed THA Poses Greater Clinical and Economic Burdens Than Failed TKA. Clin Orthop Rel Res. 2015. II(473): p. 2131-8.
Thomas JW. Femoroacetabular impingement in athletes. Current concepts. Am J Sports Med. 2014. 42(3): 737-51. doi: 10.1177/0363546513499136.
Grammatopolous G, Pandit H, Kwon Y-M, Gundle R, McLardy-Smith P, Beard DJ, et al. Hip resurfacings revised for inflammatory pseudotumour have a poor outcome. J Bone Joint Surg Br. 2009. 91(8):1019-24.
Zhang C, Li L, Forster B, Kopec J, Ratzlaff C, Halai L. Femoroacetabular impingement and osteoarthritis of the hip. Can Fam Physician. 2015. 61(12): 1055–60.
Marin-Peña O, Tey-Pons M, Perez-Carro L, Said HG. The current situation in hip arthroscopy. EFORT Open Rev. 2017. 2(3): 58–65.
Molina Linde JM, Carlos Gil AM, García Benítez B, Lacalle Remigio JR, Benot López S y grupo de panelistas. Artroscopia de cadera. Indicaciones de uso adecuado. Sevilla: Agencia de Evaluación de Tecnologías Sanitarias, 2017. ISBN:978-84-946228-1-6
Sánchez Carrasco MA. Relación entre niveles de iones metálicos sistémicos y el desarrollo de pseudotumor en artroplastia total de cadera (comparativa de par metal-metal y metalpolietileno). Tesis Doctoral. Murcia. Universidad Católica de Murcia, España; 2018.
Freire García BL, Pérez Hernández LM, Acosta Daniel RI. Pinzamiento femoroacetabular, causa de dolor en la cadera en el adulto joven. Rev Cubana Ortop Traumatol. 2015. 29(2): 169-82. ISSN 0864-215X.
Ball ST, Le Duff MJ, Amstutz HC. Early results of conversion of a failed femoral component in hip resurfacing arthroplasty. J Bone Joint Surg Am. 2007. 89(4):735-41. doi: 10.2106/JBJS.F.00708.
Rodríguez Y. Estado actual en el Síndrome Femoroacetabular. Abordaje fisioterapéutico y quirúrgico. Tesis de Especialidad. Tenerife: Universidad de la Laguna, Sección de Medicina Enfermería y Fisioterapia; 2017.
Garcés Burbano EJ, Padilla Lupercio LF. Valoración de los resultados funcionales, con las escalas de Womac y Harris en pacientes de 18 a 66 años de edad con pinzamiento fémoro-acetabular y lesiones del labrum tratados mediante artroscopia en el grupo de cirugía de cadera del servicio de ortopedia y traumatología del Hospital de Especialidades de las Fuerzas Armadas nº1, durante el periodo Marzo 2011-Septiembre 2014. Trabajo de Tesis presentado como requisito parcial para optar el Título de Especialista en Ortopedia y Traumatología. Instituto Superior de Investigación y Postgrado. 2015. Quito: UCE. 97 p. Disponible en: http://www.dspace.uce.edu.ec/handle/25000/4630
Martínez D, Gómez-Hoyos J, Márquez W, Gallo J. Factors associated with the failure of arthroscopic surgery treatment in patients with femoroacetabular impingement: A cohort study. Rev Española Cir Ortopédica y Traumatología (English Edition). 2015. 59(2): 112-21.
Terrazo O. Enfoque fisioterapéutico en pinzamiento femoroacetabular. Tesis de especialidad. Lima: Universidad Inca Garcilaso de la Vega, Facultad de Tecnología Médica; 2018. Disponible en: http://repositorio.uigv.edu.pe/handle/20.500.11818/2334
Beck M, Kalhor M, Leunig M, Ganz R. Hip morphology influences thepattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br. 2005. 87(7):1012-8. doi: 10.1302/0301-620X.87B7.15203.
Chahla J, Olivetto J, Philippon J. Evaluación Radiográfica del Síndrome de Fricción FémoroAcetabular tipo Pincer: ¿La coxa profunda o el signo del lazo cercioran sobrecobertura acetabular? Rev Acaro. 2017. 3(3): 116-20.
McCormick F, Nwachukwu BU, Alpaugh K, Martin SD. Predictors of hip arthroscopy outcomes for labral tears at minimum 2-year follow-up: the influence of age and arthritis. Arthroscopy. 2012. 28(10): 1359-64. doi: 10.1016/j.arthro.2012.04.059.
Rivera Merchán MA. Tratamiento artroscópico en el pinzamiento fémoro acetabular. Tesis de especialidad. La Habana: Complejo Científico Ortopédico Internacional "Frank País", 2015.
