title: Mini-open approach for femoroacetabular impingement: 10 years experience and evolved indications.
abstract: BACKGROUND
  Femoroacetabular impingement (FAI) has been proposed as a possible cause of early osteoarthritis of the hip. The treatment of this condition and its related lesions can be performed by 3 methods: surgical dislocation of the hip; pure arthroscopic; and anterior mini-open technique with or without arthroscopic assistance.
  
  
  METHODS
  We describe the anterior mini-open technique and report our experience over the last decade in the treatment of FAI and different associated pathologies of the hip.
  
  
  RESULTS
  This technique was found to be safe and reliable, allowing tissue preservation and providing a clinical improvement similar to the purely arthroscopic-treated patient, even in complex cases.
  
  
  CONCLUSIONS
  According to our experience there are several presentations of FAI and associated hip conditions, where other authors advocate surgical dislocation, which can be conducted through a mini-open approach when increased surgical skills are reached. Moreover, this technique was found to be useful as an additional tool to consider, even for surgeons involved in the arthroscopic learning curve.
authors.affiliation: The Catalan Institute for Traumatology and Sports Medicine (ICATME) - University Hospital Quiron Dexeus, Barcelona - Spain.
authors.forename: Vittorio
authors.initials: V
authors.lastname: Bellotti
authors.affiliation: The Catalan Institute for Traumatology and Sports Medicine (ICATME) - University Hospital Quiron Dexeus, Barcelona - Spain.
authors.forename: Carlomagno
authors.initials: C
authors.lastname: Cardenas
authors.affiliation: The Catalan Institute for Traumatology and Sports Medicine (ICATME) - University Hospital Quiron Dexeus, Barcelona - Spain.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Astarita
authors.affiliation: The Catalan Institute for Traumatology and Sports Medicine (ICATME) - University Hospital Quiron Dexeus, Barcelona - Spain.
authors.forename: Esther
authors.initials: E
authors.lastname: Moya
authors.affiliation: Department of Orthopaedic Surgery, Hannover Medical School, Hannover - Germany.
authors.forename: Federico
authors.initials: F
authors.lastname: De Meo
authors.affiliation: GIOMI Institute "Franco Faggiana", Reggio Calabria - Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Ezechieli
authors.affiliation: The Catalan Institute for Traumatology and Sports Medicine (ICATME) - University Hospital Quiron Dexeus, Barcelona - Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Ribas
mesh_terms: D001182:Arthroscopy / Q000379:methods*; D015331:Cohort Studies; D005260:Female; D057925:Femoracetabular Impingement / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010147:Pain Measurement; D011379:Prognosis; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome