Arthroscopic treatment of femoroacetabular impingement secondary to paediatric hip disorders.
Open reduction of the prominence at the femoral head-neck junction in femoroacetabular impingement has become an established treatment for this condition. We report our experience of arthroscopically-assisted treatment of femoroacetabular impingement secondary to paediatric hip disease in 14 hips in 13 consecutive patients (seven women, six men) with a mean age of 30.6 years (24 to 39) at the time of surgery. The mean follow-up was 2.5 years (2 to 4). Radiologically, 13 hips had successful restoration of the normal geometry and only one had a residual deformity. The mean increase in the Western Ontario McMasters Osteoarthritis Index for the series at the last follow-up was 9.6 points (4 to 14). No patient developed avascular necrosis or sustained a fracture of the femoral neck or any other complication. These findings suggest that femoroacetabular impingement associated with paediatric hip disease can be treated safely by arthroscopic techniques.
Ilizaliturri
V M
VM
Adult Joint Reconstruction National Rehabilitation Institute of Mexico, Avenue Mexico, Xochimilco 289, Mexico City, Mexico. vichip2002@yahoo.com.mx
Nossa-Barrera
J M
JM
Acosta-Rodriguez
E
E
Camacho-Galindo
J
J
D000077:Acetabulum / Q000601:surgery*; D000328:Adult; D001182:Arthroscopy; D001847:Bone Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005269:Femur / Q000601:surgery*; D006801:Humans; D007592:Joint Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome