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Femoral neck osteoplasty yields positive outcomes in treating FAI
Patients who underwent femoral neck osteoplasty to treat femoroacetabular impingement showed improved patient-reported outcome values and no recurrence of cam deformity at 2 years postoperatively.
Researchers evaluated 47 patients undergoing hip arthroscopic surgery with femoral neck osteoplasty between March 2009 and January 2011. Radiographic data were reviewed at a mean follow-up of 28.32 months to assess recurrence of cam deformity at 2-year follow-up after adequate decompression during the index hip arthroscopic procedure; the researchers then correlated these findings with patient-reported outcome values.
All patient-reported outcome scores were improved at 3 months compared with preoperative scores, and all metrics except VAS score continued to show improvement at final follow-up, according to the researchers.
Modified Harris Hip Score improved from a preoperative 58.43 to 78.92 at 3-month follow-up and 79.55 at 2-year follow-up.
At 2 weeks postoperatively, mean femoral offset improved from 3.7 mm to 7.8 mm, whereas mean preoperative alpha angle improved from 70° to 42.79°.
Disclosure: Domb is a consultant and receives research support from American Hip Institute, Arthrex Inc, MAKO Surgical Corporation, Breg, ATI, Pacira, and MedWest; holds stock in Stryker and MAKO Surgical Corporation; and receives royalties from Orthomerica and DJO Global.