Impacto femoroacetabular e lesão do lábio acetabular – Parte 3: Tratamento cirúrgico

Queiroz, Marcelo Cavalheiro de; Junior, Walter Ricioli; Ejnisman, Leandro; Gurgel, Henrique Melo de Campos; Miyahara, Helder de Souza; Polesello, Giancarlo Cavalli

doi:10.1055/s-0040-1714220

Cited by 2 publications

(3 citation statements)

References 45 publications

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“…Therefore, it can be used to diagnose and treat various hip joint diseases. Compared with open‐approach surgery, arthroscopy technology has less damage, pain and infection to the soft tissues around the hip, which is more consistent with the concept of rapid rehabilitation 29,30 . However, arthroscopy technology also has some shortcomings, such as traction injury, compression injury and relatively rare postoperative instability 31 .…”

Section: Discussionmentioning

confidence: 87%

“…In daily life, the excessive wrapping of the acetabulum labium and the impact of the proximal femur lead to cartilage tearing and ossification deformation, more common among middle-aged women who Compared with open-approach surgery, arthroscopy technology has less damage, pain and infection to the soft tissues around the hip, which is more consistent with the concept of rapid rehabilitation. 29,30 However, arthroscopy technology also has some shortcomings, such as traction injury, compression injury and relatively rare postoperative instability. 31 F I G U R E 2 Forest illustration of the improvement of alpha angle.…”

Section: Discussionmentioning

confidence: 99%

“…Compared with open‐approach surgery, arthroscopy technology has less damage, pain and infection to the soft tissues around the hip, which is more consistent with the concept of rapid rehabilitation. 29 , 30 However, arthroscopy technology also has some shortcomings, such as traction injury, compression injury and relatively rare postoperative instability. 31 In 2005, Sampson began to use hip arthroscopy to treat the bone deformity of femoroacetabular impingement.…”

Section: Discussionmentioning

confidence: 99%

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Comparative analysis of hip arthroscopy and open surgical dislocation for treating femoroacetabular impingement

Xiong,

Chen,

Chen

et al. 2024

International Wound Journal

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The purpose of this study was to compare the impact of hip arthroscopy group and open surgical dislocation group as treatments for femoroacetabular impingement (FAI) in young athletes, specifically in relation to early hip osteoarthritis. A systematic search was conducted across four databases to identify controlled trials comparing hip arthroscopy and open surgical dislocation for FAI treatment. The selected studies (9 in total) underwent rigorous literature assessment and data analysis using Review Manager (RevMan) 5.3 software. The meta‐ analysis revealed that there was no statistically significant difference between hip arthroscopy group (the test group) and the open surgical dislocation group (the control group) concerning the improvement of the alpha angle (Standardized Mean Difference [SMD]: ‐5.54; 95% Confidence Interval [CI]: ‐ 12.45,1.38; p = 0.117), the Modified Harris Hip Score (mHHS) after a 12‐ month follow‐ up (SMD:0.94; 95% CI:‐ 2.87,4.75; p = 0.629) and the complication rate (OR: 0.66; 95% CI: 0.26,1.65; p = 0.372). However, the meta‐ analysis revealed that the Nonarthritic Hip Score (NAHS) after a 12‐ month follow‐ up of the test group was significantly higher than that of the control group (SMD: 6.31; 95% CI: 0.53, 12.09; p = 0.032). In terms of the reoperation rate, it demonstrated a significantly lower rate in the test group compared to the control group (OR: 0.48; 95% CI: 0.29, 0.82; p < 0.01). These findings suggest that hip arthroscopy may have better outcomes for patients with FAI, as it is associated with improvements in hip function and a lower reoperation rate. However, these conclusions should be validated by further high‐ quality studies.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparative analysis of hip arthroscopy and open surgical dislocation for treating femoroacetabular impingement

Xiong,

Chen,

Chen

et al. 2024

International Wound Journal

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Efficacy and safety of preoperative versus postoperative NSAIDs on pain relief in patients undergoing hip arthroscopy surgery: A multicentre, randomized, controlled trial

Zhang

Zhao

Yang

et al. 2022

Clinical Pharmacy Therapeu

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What is known and objective Postoperative pain relief is a critical issue for hip arthroscopy surgery (HAS). This study aimed to investigate the effect of preemptive non‐steroidal anti‐inflammatory drugs (NSAIDs) for postoperative analgesia in femoroacetabular impingement (FAI) patients receiving HAS. Methods This multicenter, randomized, controlled study enrolled 204 FAI patients receiving HAS, then assigned them to preoperative (PRE, N = 103) or postoperative (POS, N = 101) group as a 1:1 ratio; the PRE group administrated NSAIDs from 24 h pre‐surgery to day 7 (D7) post‐surgery, while the POS group administrated NSAIDs from 12 h post‐surgery to D7 post‐surgery. Results and discussion Pain at rest was reduced at D1 (p = 0.016) and D2 (p = 0.023); pain at movement was decreased at D1 (p = 0.002), D2 (p = 0.020), and D3 (p = 0.030) in the PRE group compared with POS group, but not at other time points (all p > 0.05). Patient's satisfaction was increased at D1 (p = 0.013) and D3 (p = 0.029) in the PRE group compared to the POS group, but not at D7 (p = 0.145). Pethidine was less consumed at D3 (p = 0.038) and D7 (p = 0.017) in the PRE group in contrast with the POS group. Harris hip scores were similar at D7 (p = 0.124), month 1 (M1) (p = 0.273), and M3 (p = 0.360) between groups. Adverse events incidence was similar between groups (all p > 0.05). Besides, subgroup analysis discovered that pain was not influenced by the types of NSAID in both groups (all p > 0.05). What is new and conclusion Starting NSAIDs before HAS provides better short‐term pain relief and improves patient's satisfaction compared with its postoperative utilization, while does not induce additional adverse events in FAI patients.

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Impacto femoroacetabular e lesão do lábio acetabular – Parte 3: Tratamento cirúrgico

Cited by 2 publications

References 45 publications

Comparative analysis of hip arthroscopy and open surgical dislocation for treating femoroacetabular impingement

Comparative analysis of hip arthroscopy and open surgical dislocation for treating femoroacetabular impingement

Efficacy and safety of preoperative versus postoperative NSAIDs on pain relief in patients undergoing hip arthroscopy surgery: A multicentre, randomized, controlled trial

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