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Arthroscopic surgery for global versus focal pincer femoroacetabular impingement: are the outcomes different?
To determine outcomes from arthroscopic surgery for global pincer femoroacetabular impingement (FAI), a large multicenter prospective study investigating arthroscopic surgical outcomes was performed with minimum 2-year follow-up. Global (center-edge angle 40+ degrees) and Focal (center-edge angle 25...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Oxford University Press
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4718481/ https://www.ncbi.nlm.nih.gov/pubmed/27011813 http://dx.doi.org/10.1093/jhps/hnv010 |
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author | Matsuda, Dean K. Gupta, Nikhil Burchette, Raoul J. Sehgal, Bantoo |
author_facet | Matsuda, Dean K. Gupta, Nikhil Burchette, Raoul J. Sehgal, Bantoo |
author_sort | Matsuda, Dean K. |
collection | PubMed |
description | To determine outcomes from arthroscopic surgery for global pincer femoroacetabular impingement (FAI), a large multicenter prospective study investigating arthroscopic surgical outcomes was performed with minimum 2-year follow-up. Global (center-edge angle 40+ degrees) and Focal (center-edge angle 25–39 degrees) cohorts were based on pre-operative radiographs. Pre-operative and intra-operative findings, surgical procedures, post-operative nonarthritic hip score (NAHS) and satisfaction (5-point Likert scale), complications and conversion arthroplasties were compared. A nested case–control study was also performed. The Global cohort consisted of 15 patients (18 hips) of mean age 37.2 years. Pre-operative NAHS was 51.5 and 74.1 at 24+ months post-surgery. The change in NAHS was significant (P = 0.01). Mean satisfaction was 4.2. There was one total hip arthroplasty (THA) conversion (5.6%), no revision surgeries or complications. The Focal cohort consisted of 125 patients (129 hips) of mean age 39.8 years. Pre-operative NAHS was 54.8 and 77.8 at 24+ months post-surgery. The change in NAHS was significant (P < 0.0001). Mean satisfaction was 4.2. There were eight THA conversions (6.2%), three complications (2.3%) and two revision surgeries (1.5%). Cohort comparisons revealed no statistically significant difference in NAHS (P = 0.30), satisfaction (P = 0.92) or THA conversion rate (P = 0.91). The nested case–control study found mean post-operative change in NAHS was +22.2 and +20.4, respectively, at 24+ months (P = 0.76). Arthroscopic treatment of global pincer FAI is a safe and effective procedure. With outcomes comparable to those observed in the arthroscopic treatment of lesser focal deformities, arthroscopic surgery provides a less invasive option for the treatment of global pincer FAI. |
format | Online Article Text |
id | pubmed-4718481 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-47184812016-03-23 Arthroscopic surgery for global versus focal pincer femoroacetabular impingement: are the outcomes different? Matsuda, Dean K. Gupta, Nikhil Burchette, Raoul J. Sehgal, Bantoo J Hip Preserv Surg Research Articles To determine outcomes from arthroscopic surgery for global pincer femoroacetabular impingement (FAI), a large multicenter prospective study investigating arthroscopic surgical outcomes was performed with minimum 2-year follow-up. Global (center-edge angle 40+ degrees) and Focal (center-edge angle 25–39 degrees) cohorts were based on pre-operative radiographs. Pre-operative and intra-operative findings, surgical procedures, post-operative nonarthritic hip score (NAHS) and satisfaction (5-point Likert scale), complications and conversion arthroplasties were compared. A nested case–control study was also performed. The Global cohort consisted of 15 patients (18 hips) of mean age 37.2 years. Pre-operative NAHS was 51.5 and 74.1 at 24+ months post-surgery. The change in NAHS was significant (P = 0.01). Mean satisfaction was 4.2. There was one total hip arthroplasty (THA) conversion (5.6%), no revision surgeries or complications. The Focal cohort consisted of 125 patients (129 hips) of mean age 39.8 years. Pre-operative NAHS was 54.8 and 77.8 at 24+ months post-surgery. The change in NAHS was significant (P < 0.0001). Mean satisfaction was 4.2. There were eight THA conversions (6.2%), three complications (2.3%) and two revision surgeries (1.5%). Cohort comparisons revealed no statistically significant difference in NAHS (P = 0.30), satisfaction (P = 0.92) or THA conversion rate (P = 0.91). The nested case–control study found mean post-operative change in NAHS was +22.2 and +20.4, respectively, at 24+ months (P = 0.76). Arthroscopic treatment of global pincer FAI is a safe and effective procedure. With outcomes comparable to those observed in the arthroscopic treatment of lesser focal deformities, arthroscopic surgery provides a less invasive option for the treatment of global pincer FAI. Oxford University Press 2015-03-02 /pmc/articles/PMC4718481/ /pubmed/27011813 http://dx.doi.org/10.1093/jhps/hnv010 Text en © The Author 2015. Published by Oxford University Press. http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Research Articles Matsuda, Dean K. Gupta, Nikhil Burchette, Raoul J. Sehgal, Bantoo Arthroscopic surgery for global versus focal pincer femoroacetabular impingement: are the outcomes different? |
title | Arthroscopic surgery for global versus focal pincer femoroacetabular impingement: are the outcomes different? |
title_full | Arthroscopic surgery for global versus focal pincer femoroacetabular impingement: are the outcomes different? |
title_fullStr | Arthroscopic surgery for global versus focal pincer femoroacetabular impingement: are the outcomes different? |
title_full_unstemmed | Arthroscopic surgery for global versus focal pincer femoroacetabular impingement: are the outcomes different? |
title_short | Arthroscopic surgery for global versus focal pincer femoroacetabular impingement: are the outcomes different? |
title_sort | arthroscopic surgery for global versus focal pincer femoroacetabular impingement: are the outcomes different? |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4718481/ https://www.ncbi.nlm.nih.gov/pubmed/27011813 http://dx.doi.org/10.1093/jhps/hnv010 |
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