文章基本信息

标题：Surgical dislocation of the hip in patients with femoroacetabular impingement: Surgical techniques and our experience
本地全文：下载
作者：Mladenović, Marko ; Anđelković, Zoran ; Micić, Ivan 等
期刊名称：Vojnosanitetski pregled
印刷版ISSN：0042-8450
出版年度：2015
卷号：72
期号：11
页码：1004-1009
DOI：10.2298/VSP131207097M
出版社：Military Medical Academy, INI
摘要：Background/Aim. Arthrosis of the hip is the most common cause of a hip joint disorders. The aim of this study was to present our experience in the application of a safe surgical dislocation of the hip in patients with minor morphological changes in the hip joint, which, through the mechanism of femoroacetabular impingement, cause damage to the acetabular labrum and adjacent cartilage as an early sign of the hip arthrosis. Methods. We have operated 51 patients with different morphological bone changes in the hip area and resultant soft tissue damage of the acetabular labrum and its adjacent cartilage. Surgical technique that we applied in this group of patients, was adapted to our needs and capabilities and it was minimaly modified compared to the original procedure. Results. The surgical technique presented in this paper, proved to be a good method of treatment of bone and soft tissue pathomorphological changes of the hip in patients with femoroacetabular impingement. We had no cases with avascular necrosis of the femoral head, and two patients had nonunion of the greater trochanter, 9 patients developed paraarticular ossification, without subjective symptoms, while 3 patients suffered from postoperative pain in the groin during more energetic physical activities. Conclusion. Utilization of our partly modified surgical technique of controlled and safe dislocation of the hip can solve all the bone and soft tissue problems in patients with femoroacetibular impingement to stop already developed osteoarthritis of the hip or to prevent mild form of it.
关键词：femoracetabular impingement; hip joint; orthopedic procedures; methods; treatment outcome