PMID- 24839626
OWN - NLM
STAT- MEDLINE
DCOM- 20141218
LR  - 20220409
IS  - 1934-3418 (Electronic)
IS  - 1078-4519 (Linking)
VI  - 43
IP  - 5
DP  - 2014 May
TI  - Open surgical dislocation versus arthroscopic treatment of femoroacetabular 
      impingement.
PG  - 209-14
AB  - It is unclear if open surgical dislocation or arthroscopy of the hip is superior 
      for the treatment of femoroacetabular impingement (FAI). We prospectively 
      compared the clinical results of these 2 surgical methods performed by a single 
      surgeon. Five patients met the inclusion criteria for the open surgical 
      dislocation group and 18 for the arthroscopic group. Patient-reported scores, 
      including the modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), 
      Hip Outcome Score-Sport-Specific Subscale (HOS-SSS) and Hip Outcome 
      Score-Activities of Daily Living (HOS-ADL) were used preoperatively, and at 3 
      months, 6 months, and 1 year postoperatively to compare the 2 groups. Average 
      follow-up was 14.7 months (range, 12 to 25 months); both groups showed 
      significant improvement in their postoperative scores compared with preoperative 
      scores (P < .01). The arthroscopic group had better, earlier improvement at 3- 
      and 6-month follow-up, with NAHS significantly better at 3 months (P < .0002). 
      However, improvements were comparable between the 2 groups at 1 year. Open 
      surgical dislocation and arthroscopy are viable options for the treatment of FAI. 
      The arthroscopic group demonstrated a trend toward faster recovery and quicker 
      return to sports, but larger and longer-term studies are needed.
FAU - Botser, Itamar B
AU  - Botser IB
FAU - Jackson, Timothy J
AU  - Jackson TJ
FAU - Smith, Thomas W
AU  - Smith TW
FAU - Leonard, James P
AU  - Leonard JP
FAU - Stake, Christine E
AU  - Stake CE
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute, Westmont, IL. drdomb@americanhipinstitute.org.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Am J Orthop (Belle Mead NJ)
JT  - American journal of orthopedics (Belle Mead, N.J.)
JID - 9502918
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Arthroscopy
MH  - Female
MH  - Femoracetabular Impingement/*surgery
MH  - Hip Joint/*surgery
MH  - Humans
MH  - Young Adult
EDAT- 2014/05/20 06:00
MHDA- 2014/12/19 06:00
CRDT- 2014/05/20 06:00
PHST- 2014/05/20 06:00 [entrez]
PHST- 2014/05/20 06:00 [pubmed]
PHST- 2014/12/19 06:00 [medline]
PST - ppublish
SO  - Am J Orthop (Belle Mead NJ). 2014 May;43(5):209-14.