Radiographic Comparison of Surgical Hip Dislocation and Hip Arthroscopy for Treatment of Cam Deformity in Femoroacetabular Impingement

2011 ◽  
Vol 39 (1_suppl) ◽  
pp. 20-28 ◽  
Author(s):  
Asheesh Bedi ◽  
Ira Zaltz ◽  
Katrina De La Torre ◽  
Bryan T. Kelly
Keyword(s):  
Femoroacetabular Impingement ◽  
Hip Arthroscopy ◽  
Hip Dislocation ◽  
Surgical Hip Dislocation ◽  
Cam Deformity

scholarly journals Surgical hip dislocation versus hip arthroscopy for femoroacetabular impingement: clinical and morphological short-term results

2012 ◽  
Vol 133 (1) ◽  
pp. 69-79 ◽  
Author(s):  
Patrick O. Zingg ◽  
Erika J. Ulbrich ◽  
Tobias C. Buehler ◽  
Fabian Kalberer ◽  
Vaughan R. Poutawera ◽  
...  
Keyword(s):  
Femoroacetabular Impingement ◽  
Hip Arthroscopy ◽  
Hip Dislocation ◽  
Surgical Hip Dislocation ◽  
Short Term

Surgical Treatment of Femoroacetabular Impingement: Hip Arthroscopy Versus Surgical Hip Dislocation

2020 ◽  
Vol 102 (Suppl 2) ◽  
pp. 51-58
Author(s):  
Jeffrey J. Nepple ◽  
Ira Zaltz ◽  
Christopher M. Larson ◽  
Paul E. Beaulé ◽  
Young-Jo Kim ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Femoroacetabular Impingement ◽  
Hip Arthroscopy ◽  
Hip Dislocation ◽  
Surgical Hip Dislocation

scholarly journals Surgical treatment of symptomatic post-slipped capital femoral epiphysis deformity: a comparative study between hip arthroscopy and surgical hip dislocation with or without intertrochanteric osteotomy

2020 ◽  
Vol 14 (2) ◽  
pp. 98-105 ◽  
Author(s):  
James D. Wylie ◽  
Michael P. McClincy ◽  
Nishant Uppal ◽  
Patricia E. Miller ◽  
Young-Jo Kim ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Hip Arthroscopy ◽  
Research Question ◽  
Slipped Capital Femoral Epiphysis ◽  
Hip Dislocation ◽  
Cartilage Defects ◽  
Surgical Hip Dislocation ◽  
Level Of Evidence ◽  
Articular Damage ◽  
Before And After

Purpose Our primary research question was to investigate the severity of deformity and articular damage as well as outcomes in patients undergoing hip arthroscopy compared with open surgery for the treatment of symptomatic slipped capital femoral epiphysis (SCFE) deformity. Methods Retrospective review of surgical treatment of symptomatic SCFE deformity with a minimum one-year follow-up. Patients were divided into three groups: the arthroscopic group, surgical hip dislocation(SHD) group and SHD with femoral osteotomy (SHD+ITO) group. Deformity severity was quantified. Hip outcome was assessed by the modified Merle d’Aubigné Postel (MDP) scores. Results There were more severe slips treated by SHD and SHD+ITO. There was more severe deformity in the SHD+ITO group than the arthroscopy group (p < 0.001). There were more full thickness acetabular cartilage defects in the SHD and the SHD+ITO groups (> 40%) compared with the arthroscopy group (11%; p = 0.03). The SHD+ITO and SHD group had lower MDP scores compared with the arthroscopy group both before and after surgery but no difference was detected in the amount of improvement from surgery across groups (p > 0.05). Moderate and severe SCFEs had worse preoperative scores but improvement was not different compared with mild SCFEs (p > 0.05). Conclusion Patients undergoing open treatment had more severe SCFE deformity with more extensive articular damage at reconstructive surgery compared with patients undergoing arthroscopy. All groups with SCFE deformity had improved pain and hip function postoperatively. Level of Evidence III

scholarly journals Surgical hip dislocation and varus derotation osteotomy for extra-articular cause of femoroacetabular impingement: a single case report

2020 ◽  
Vol 7 (1) ◽  
pp. 153-159
Author(s):  
Su-Hyun Cho ◽  
Hyuk-Jin Cho ◽  
Young-Jin Cho
Keyword(s):  
Case Report ◽  
Range Of Motion ◽  
Femoroacetabular Impingement ◽  
Single Case ◽  
Hip Dislocation ◽  
Surgical Hip Dislocation ◽  
Single Case Report ◽  
Derotation Osteotomy ◽  
Refractory Case

Abstract Femoral retroversion is an extra-articular cause of cam-type femoroacetabular impingement (FAI) via early engagement with anterior rim. Valgus hip also causes extra-articular FAI by decreasing the range of motion. We present a case of valgus hip accompanied by femoral retroversion, which was refractory to prior arthroscopic femoroplasty. As a reasonable strategy, we have performed extra-articular correction via femoral subtrochanteric varus derotation osteotomy as well as intra-articular decompression by surgical hip dislocation. Femoral varus derotation osteotomy with surgical hip dislocation is a rational and appropriate solution in patients with extra-articular FAI, which is refractory to arthroscopic FAI surgery. Extra-articular causes of FAI should be suspected in every refractory case.

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