Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Feb 15;32(2):129-133.
doi: 10.7507/1002-1892.201710046.

[Mid-term effectiveness of arthroscopic surgery for femoroacetabular impingement]

[Article in Chinese]
Zongping Xie  1 , Dongxu Jin  2 , Jiagen Shen  2 , Changqing Zhang  2
Affiliations

[Mid-term effectiveness of arthroscopic surgery for femoroacetabular impingement]

[Article in Chinese]
Zongping Xie et al. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. .

Abstract
in English, Chinese

Objective: To assess the mid-term effectiveness of arthroscopic surgery in treatment of femoroacetabular impingement (FAI).

Methods: Between July 2014 and December 2015, 131 patients (132 hips) with FAI were enrolled in this study. There were 68 males and 63 females with an average age of 42.5 years (range, 17-68 years). The FAI was located at left hip in 72 cases, right hip in 58 cases, and bilateral hips in 1 case. The mean disease duration was 35 months (range, 3-120 months). Under arthroscopy, the femoral neck osteoplasty and/or acetabular rim trimming were performed, then the torn labrum was repaired. At the same time, the iliopsoas tendon was divided and the torn round ligament was debrided. The effectiveness was assessed by the visual analogue scale (VAS) and the Harris hip score (HHS).

Results: After operation, the perineum nerve palsy and numbness of dorsal feet occurred in 2 cases and 3 cases, respectively. There was no other complication. All patients were followed up 20-36 months (mean, 27.7 months). There were significant differences in the VAS scores and HHS scores between pre-operation, post-operative 3 months, and the last follow-up ( P<0.05). Imaging examination showed that joint interspace of the involved hip was normal, and there was no sign of impingement and osteoarthritis in the femoral neck or acetabulum.

Conclusion: Arthroscopic labral repair and osteoplasty is an effective and safe management for FAI in the mid-term follow-up.

目的: 总结关节镜下手术治疗股骨髋臼撞击征（femoroacetabular impingement，FAI）的中期疗效。.

方法: 回顾分析 2014 年 7 月—2015 年 12 月收治并符合选择标准的 131 例（132 髋）FAI 患者临床资料。男 68 例，女 63 例；年龄 17～68 岁，平均 42.5 岁。左髋 72 例，右髋 58 例；双髋 1 例。病程 3～120 个月，平均 35 个月。关节镜下行髋臼和/或股骨头颈成形、盂唇修补，同时松解粘连的髂腰肌腱、清理撕裂的圆韧带。采用疼痛视觉模拟评分（VAS）及髋关节 Harris 评分（HHS）评价疗效。.

结果: 术后除 2 例出现阴部神经麻痹、3 例足背麻木外，无其他相关并发症发生。患者均获随访，随访时间 20～36 个月，平均 27.7 个月。术后 3 个月及末次随访时 VAS 评分及 HHS 评分与术前比较，差异均有统计学意义（ P<0.05）；术后 3 个月与末次随访时比较，差异亦有统计学意义（ P<0.05）。影像学复查显示患侧髋关节间隙完全正常，股骨头颈及髋臼成形部位无撞击征象出现。.

结论: 关节镜下手术治疗 FAI，在行髋臼和/或股骨头颈成形的同时修补撕裂盂唇，中期疗效满意，是一种安全、有效、微创的治疗方法。.

Keywords: Femoroacetabular impingement; acetabuloplasty; arthroscopy; femoral neck osteoplasty; labral repair; mid-term effectiveness.

PubMed Disclaimer

Figures

图 1
图 1
Operative procedure 手术操作步骤
图 2
图 2
A 50-year-old male patient with right FAI 患者，男，50 岁，右侧 FAI
See this image and copyright information in PMC

References

    1. Smith-Petersen MN The classic: Treatment of malum coxae senilis, old slipped upper femoral epiphysis, intrapelvic protrusion of the acetabulum, and coxa plana by means of acetabuloplasty. 1936. Clin Orthop Relat Res. 2009;467(3):608–615. - PMC - PubMed
    1. Ganz R, Parvizi J, Beck M, et al Femoroacetabular impingement—A cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;(417):112–120. - PubMed
    1. Nepple JJ, Clohisy JC Evolution of femoroacetabular impingement treatment: the ANCHOR experience. Am J Orthop (Belle Mead N J) 2017;46(1):28–34. - PubMed
    1. Khan M, Bedi A, Fu F, Karlsson J, et al New perspectives on femoroacetabular impingement syndrome. Nat Rev Rheumatol. 2016;12(5):303–310. - PubMed
    1. Hufeland M, Krüger D, Haas NP, et al Arthroscopic treatment of femoroacetabular impingement shows persistent clinical improvement in the mid-term. Arch Orthop Trauma Surg. 2016;136(5):687–691. - PubMed

LinkOut - more resources