Assessment of arthroscopic management of femoroacetabular impingement. A prospective multicenter study

Gedouin, J E; May, O.; Bonin, Nicolas; Nogier, Alexis; Boyer, T.; Sadri, Hassan; Villar, Richard N.; Laude, F.

doi:10.1016/j.otsr.2010.08.002

Cited by 115 publications

(91 citation statements)

References 53 publications

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“…We found no difference between the two groups in terms of the change of mHHS at 6 months (PA = 12.8, RA = 11. [14,18,20]. Most studies of the sporting population have been retrospective in nature or in a small series of patients and do not report objective criteria to assess their level of activity.…”

Section: Resultsmentioning

confidence: 99%

“…This work was performed in The Richard Villar Practice, Spire Cambridge Lea Hospital, Cambridge, UK. The Richard Villar Practice, Spire Cambridge Lea Hospital, 30 New Road, Impington, Cambridge CB24 9EL, UK e-mail: rvillar@uk-consultants.co.uk; rnv1000@aol.com 75% to 77% of patients at 1 year [14,18,20]. Botser et al [4] in a review comparing arthroscopy with open surgical dislocation and a combined approach for FAI found consistent improvement in modified Harris hip score (mHHS) for all with a lower complication rate and higher return to sports for professional athletes with the arthroscopic approach.…”

Section: Introductionmentioning

confidence: 99%

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Do Professional Athletes Perform Better Than Recreational Athletes After Arthroscopy for Femoroacetabular Impingement?

Malviya

Paliobeis

Villar

2013

Clinical Orthopaedics &Amp; Related Research

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Background Although a large number of athletes' returns to sports after hip arthroscopic surgery for femoroacetabular impingement (FAI), it is not clear if they do so to the preinjury level and whether professional athletes (PA) are more likely to return to the preinjury level compared with recreational athletes (RA). Questions/purposes We therefore compared (1) the time taken to return to the preinjury level of sport between professional and recreational athletes; (2) the degree of improvement in time spent in training and competitive activities after arthroscopic surgery for FAI; and (3) the difference in trend of improvement in hip scores. Methods We prospectively followed 80 athletes (PA = 40, RA = 40; mean age, 35.7 years; males = 50, females = 30; mean followup, 1.4 years; range, 1-1.8 years) who underwent hip arthroscopy for FAI. We measured the time to return to sports; training time and time in competition; and the modified Harris hip score and the nonarthritic hip score.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Do Professional Athletes Perform Better Than Recreational Athletes After Arthroscopy for Femoroacetabular Impingement?

Malviya

Paliobeis

Villar

2013

Clinical Orthopaedics &Amp; Related Research

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“…The "outcome assessment" section scored adequately in 20 articles (64.5%). Seventeen studies [9, 19, 21, 24, 26, 32-34, 36-40, 42] used the modified Harris hip score, four studies the Merle d'Aubignè scale [3,18,25,43], and five studies the WOMAC Index score [25,27,29,30,41]. The non arthritic hip score (NAHS) was used in four studies [9,23,28,33], the hip outcome score was administered in two studies [22,44], while VAS rating [26] and combined VAS and SF-12 criteria [19] were used in one study each.…”

Section: Resultsmentioning

confidence: 99%

Femoroacetabular impingement syndrome management: arthroscopy or open surgery?

Papalia

Buono

Franceschi

et al. 2011

International Orthopaedics (SICOT)

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“…Post-operative femoral neck fracture is one of the recognized complications of this surgery [5][6][7][8][9][10][11][12] with incidence of rates between 0.8-1.0% [8,11,12]. Although femoral neck fracture is recognized as a potential post-operative complication of osteochondroplasty for FAI, little information is available as to what constitutes a safe depth of resection.…”

Section: Introductionmentioning

confidence: 99%

Failure Analysis Following Osteochondroplasty for Hip Impingement in Osteoporotic and Non-Osteoporotic Bones

Jimenez-Cruz¹,

Mt²,

Cg³

et al. 2016

J Osteopor Phys Act

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Femoral osteochondroplasty is the most common treatment for femoroacetabular impingement (FAI). The risk of femoral neck fracture is increased following surgery and increases further when the bone is osteoporotic. The current requirement to undertake osteochondroplasty on patients with osteoporosis is forecast to increase, however, the effect of osteoporosis on the risk of postoperative fracture is currently unknown.We developed three three-dimensional (3D) finite element models using computerised tomography (CT) scan data for a hip with cam-type impingement and used them to investigate the association between osteoporosis and the increased possibility of femoral neck fracture after femoral osteochondroplasty.Femoral osteochondroplasty was performed "virtually" on the intact hip model to two different resection depths, a 'standard' (6mm) and a 'critical' resection (12mm) depth, corresponding to 18% and 36% of the overall femoral neck diameter, respectively. Cortical and trabecular bone were included in the intact and resection hip models, and material properties representing both non-osteoporotic and osteoporotic cases employed, overall, 18 scenarios were analysed. Loading corresponding to "descending stairs" and "stumbling" activities were applied in the models enabling fracture propensity to be estimated.Our model predicted that fracture propagation can occur in the bone of osteoporotic patients following osteochondroplasty during typical daily activities, such as descending stairs. 3The level of damage increases significantly when patients are subjected to high load conditions and activities, even in non-osteoporotic patients, indicating an increased likelihood of fracture occurring. In the "stumbling activity" simulation, osteoporotic trabecular bone damage volume approached 50% for the 6mm resection, rising to 70% at a resection depth of 12mm. The corresponding rise in osteoporotic cortical bone volume damage was from 6% to 10%.Our findings support the recommendation for protected weight-bearing in patients in the postoperative phase and suggest an extended period of protected weight-bearing in osteoporotic patients could be considered.

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Assessment of arthroscopic management of femoroacetabular impingement. A prospective multicenter study

Cited by 115 publications

References 53 publications

Do Professional Athletes Perform Better Than Recreational Athletes After Arthroscopy for Femoroacetabular Impingement?

Do Professional Athletes Perform Better Than Recreational Athletes After Arthroscopy for Femoroacetabular Impingement?

Femoroacetabular impingement syndrome management: arthroscopy or open surgery?

Failure Analysis Following Osteochondroplasty for Hip Impingement in Osteoporotic and Non-Osteoporotic Bones

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