Arthroscopic offset restoration in femoroacetabular cam impingement: accuracy and early clinical outcome.
OBJECTIVE
The purpose of this study was to determine the accuracy of arthroscopic restoration of femoral offset as well as the early clinical outcome of arthroscopic debridement and femoral offset restoration and whether there is a correlation between accuracy and outcome.


METHODS
Twenty-two patients with symptomatic femoroacetabular cam impingement underwent arthroscopic correction of the femoral offset and debridement. The alpha angle was measured with magnetic resonance imaging preoperatively and postoperatively for quantification of the offset, and the clinical status was determined by documenting the impingement sign, range of motion, intensity of pain on a visual analog scale, Nonarthritic Hip Score, and complications preoperatively and 6 months postoperatively.


RESULTS
The alpha angle improved from a mean of 75 degrees to 54 degrees. Internal rotation increased from a mean of 5 degrees to 22 degrees, flexion increased from a mean of 107 degrees to 124 degrees, and the pain score decreased from a mean of 5.8 to 1.4. The Nonarthritic Hip Score increased from a mean of 49 to 74 points. No major complications were encountered. Patients with early osteoarthritis did substantially worse than those without it. The alpha angle did not correlate with any clinical outcome measure.


CONCLUSIONS
The femoral offset can be precisely restored via an arthroscopic technique in the treatment of femoroacetabular cam impingement. The early clinical outcome of arthroscopic offset restoration and debridement is good in patients with no or only mild osteoarthritis. The accuracy of correction is not correlated with the early clinical outcome.


METHODS
Level IV, therapeutic case series.
Stähelin
Lisca
L
Hôpital Orthopédique de la Suisse Romande and University of Lausanne, Lausanne, Switzerland. lisca@stahelin.ch
Stähelin
Thomas
T
Jolles
Brigitte M
BM
Herzog
Richard F
RF
D000077:Acetabulum / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D001182:Arthroscopy / Q000379:methods*; D003646:Debridement; D005260:Female; D005270:Femur Head / Q000601:surgery*; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000209:etiology / Q000517:prevention & control*; D016059:Range of Motion, Articular; D016896:Treatment Outcome