Osteochondroplasty as a treatment of femoroacetabular impingement.

BACKGROUND

Femoroacetabular impingement (FAI) is a condition characterized by repetitive abnormal contact of the femoral acetabulum with the femoral head-neck region, which leads to the development of early-stage coxarthrosis. Early diagnosis and appropriate treatment of FAI can halt the development of coxarthrosis.

MATERIAL AND METHODS

We present the early results of surgical treatment of 13 patients with FAI by osteochondroplasty of the head-neck region. An anterior approach to the hip joint was employed without surgical dislocation of the femoral head. The follow-up period ranged from 1.5 to 4 years. Clinical assessment was conducted according to the Harris classification. The FAI index was measured during radiographic evaluation.

RESULTS

Clinical assessment revealed an improvement in 12 patients. Radiographically, the value of FAI index was normal in all the patients who underwent the surgery.

CONCLUSIONS

Osteochondroplasty of the head-neck region appears to be an effective treatment of FAI in early-stage coxarthrosis.