50-264

Tratamiento del choque femoroacetabular mediante miniabordaje anterior. Resultados a corto plazo.

Femoroacetabular impingement treatment using anterior mini-open approach. Short term results.

J. DIRANZO GARCÍA, V. ESTREMS DÍAZ, L. HERNÁNDEZ FERRANDO, L. CASTILLO RUIPEREZ, A. BRU POMER.
Recepción:
22/02/2016
Aceptación:
22/02/2016
Publicación:
22/02/2016


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Resumen (ES)

Surgical treatment of femoroacetabular impingement (FAI) is an increasingly common clinical practice in our speciality. Aim. To analyze the clinical and radiological results of a first series of patients diagnosed with a FAI treated with anterior mini-open approach. Material and methods. Prospective study of 30 patients with a mean age of 36.2 years with a minimum follow-up of 12 months was made. Clinical assessment was performed using the SF-36, WOMAC and NAHS scales. We evaluate the correction of the radiologic deformity and progression of the osteoarthritis grade. Results. An adequate correction of the deformity in 93% of cases was obtained, 27 of the 30 patients showed significant clinical improvement in all tests performed. The most common complication was meralgia paresthesia of the femoro-cutaneous nerve (5 cases), 1 patient required prosthetic replacement for progression of the osteoarthritis grade. Conclusions. FAI treatment by mini-open approach is a safe and reproducible procedure. This technique allows correction of anatomical abnormalities and obtains satisfactory clinical outcomes in a cohort of young patients.

Palabras clave (ES):

mínimamente
invasivaTratamiento
quirúrgico
femoroacetabularMicroabordajeCirugía
femoroacetabularConflicto
CaderaLabrumChoque

Resumen (EN)

Surgical treatment of femoroacetabular impingement (FAI) is an increasingly common clinical practice in our speciality. Aim. To analyze the clinical and radiological results of a first series of patients diagnosed with a FAI treated with anterior mini-open approach. Material and methods. Prospective study of 30 patients with a mean age of 36.2 years with a minimum follow-up of 12 months was made. Clinical assessment was performed using the SF-36, WOMAC and NAHS scales. We evaluate the correction of the radiologic deformity and progression of the osteoarthritis grade. Results. An adequate correction of the deformity in 93% of cases was obtained, 27 of the 30 patients showed significant clinical improvement in all tests performed. The most common complication was meralgia paresthesia of the femoro-cutaneous nerve (5 cases), 1 patient required prosthetic replacement for progression of the osteoarthritis grade. Conclusions. FAI treatment by mini-open approach is a safe and reproducible procedure. This technique allows correction of anatomical abnormalities and obtains satisfactory clinical outcomes in a cohort of young patients.

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