Treatment of cam-type hip impingement yields improved hip scores at early follow-up
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Fares S. Haddad |
Use of arthroscopic osteoplasty to manage cam-type femoral acetabular impingement improved hip function at early follow-up according to a study presented by a British investigator at the Current Concepts in Joint Replacement 2011 Winter Meeting, here.
However, the relative contributions of cam impingement correction and labral/chondral hip surgery remain unclear, according to Fares S. Haddad, MB, FRCS.
“We have an improved understanding of the influence of hip anatomy and mechanics on hip symptoms and disease. Our tools for dealing with hip pathology are also evolving dramatically,” Haddad, an Orthopaedics Today Europe Editorial Board member, said during his presentation.
All of the 150 patients in the study had non-arthritic hips, underwent osteoplasty for cam lesions and had their labral tears repaired (90 men, 60 women; average age 32 years old).
When the investigators compared the patients’ preoperative hip scores with their scores at 1 year and 3-years follow-up, they noticed the scores improved significantly. Resolution of hip impingement symptoms was reported as excellent in 75% of cases and good in 20% of cases, according to the abstract.
“Longer follow-up is necessary to analyze prognostic factors and the ability of this procedure to arrest the progression of degenerative hip disease,” Haddad said.
Reference:
- Haddad FS. Early intervention: Saving the joint. Paper #28. Presented at the Current Concepts in Joint Replacement 2011 Winter Meeting. Dec. 7-10. Orlando, Fla.
- Disclosure: Haddad is a consultant to Corin, Smith & Nephew and Stryker.