[Combined hip-dysplasia and femuroacetabular impingement. Diagnosis and simultaneous surgical treatment].
Developmental dysplasia of the hip as well as femuroacetabular impingement are recognized causes of hip pain and degenerative disorders. While accepted treatment recommendations for both entities currently exist, there are no standardised approaches published for the management of combined lesions. We therefore present an algorithm of diagnosis and simultaneous surgical treatment based on a combination of periacetabular osteotomy and arthroscopically-assisted minimally invasive anterior osteochondroplasty. Short-term treatment results of 19 patients show an effective improvement of clinical symtoms and radiographic deformity.
Klinik und Poliklinik für Orthopädie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität, Anstalt des öffentlichen Rechts des Freistaates Sachsen, Fetscherstrasse 74, 01307, Dresden, Germany. claudia.wagner@uniklinikum-dresden.de
K-P
KP
Günther
F
F
Thielemann
A
A
Hartmann
P
P
Bernstein
D000293:Adolescent; D000328:Adult; D000465:Algorithms; D018771:Arthralgia / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D002358:Cartilage, Articular / Q000000981:diagnostic imaging / Q000601:surgery; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007592:Joint Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D015207:Osteoarthritis, Hip / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D010027:Osteotomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D055815:Young Adult