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Clinical Orthopaedics and Related Research®

, Volume 468, Issue 1, pp 182–190 | Cite as

Arthroscopic Treatment of Femoroacetabular Impingement of the Hip: A New Technique to Access the Joint

  • Monika Horisberger
  • Alexander Brunner
  • Richard F. Herzog
Clinical Research

Abstract

Femoroacetabular impingement has been established as an important cause of groin pain and limitation of range of motion in young, active patients and a possible cause for early osteoarthritis of the hip. Open surgery is a well-recognized approach for treatment and probably the standard for most surgeons, but recent reports regarding arthroscopic treatment procedures suggest comparable results. We present a technique that provides a way to securely penetrate the joint capsule and evaluate the clinical results of this technique in patients with femoroacetabular impingement. Between 2004 and 2007, we prospectively followed a cohort of 105 hips (88 patients; 60 males, 28 females) who underwent surgery for symptomatic cam or mixed femoroacetabular impingement. All patients were evaluated for the Nonarthritic Hip Score, clinical parameters, visual analog scale pain score, initial radiographic degenerative changes, and alpha angle. At a minimum followup of 1.3 years (average, 2.3 years; range, 1.3–4.1 years), all clinical outcome measures improved. The Nonarthritic Hip Score improved from 56.7 points (range, 15–92.5 points) to 84.6 points (range, 47.5–100 points). Nine patients (8.6%) underwent THA during followup. The outcome measures after arthroscopic therapy for femoroacetabular impingement seem comparable to those reported after open procedures.

Level of Evidence: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Keywords

Femoral Neck Fracture NAHS Alpha Angle Femoroacetabular Impingement Traction Time 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© The Association of Bone and Joint Surgeons® 2009

Authors and Affiliations

  • Monika Horisberger
    • 1
  • Alexander Brunner
    • 1
  • Richard F. Herzog
    • 1
  1. 1.Orthopaedic DepartmentCantonal Hospital LucerneWolhusenSwitzerland

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