Rothman Institute of Orthopedics at Thomas Jefferson Hospital,Philadelphia, PA, USA.
J Arthroplasty. 2012 Sep;27(8 Suppl):122-5.e1. doi: 10.1016/j.arth.2012.03.047. Epub 2012 Jun 6.
Femoroacetabular impingement, a condition seen in young active patients, is believed to lead to early degeneration of the hip joint if left untreated. We have over the last 5 years utilized a mini-open direct anterior approach to perform femoroacetabular osteoplasty (FAO) for the hip. Between January 2006 and February 2011, 293 hips (265 patients) underwent direct anterior mini-open FAO performed by a single surgeon; 156 hips (149 patients) have reached a minimum 2-year follow-up, with an average follow-up of 2.3 years (range 2.0 to 4.2 years). Preoperative Short Form 36, Western Ontario and McMaster Universities Arthritis Index, University of California Los Angeles, modified Harris Hip, and Super Simple Hip scores improved significantly (P < .001). This study shows promising mid-term results for the mini-open FAO procedure, alleviating pain and allowing return to activity in young patients with femoroacetabular impingement. Further studies need to be performed to determine risk factors for failure of FAO and ideal patient selection.
髋关节撞击症，一种在年轻、活跃的患者中出现的病症，如果不治疗，可能会导致髋关节早期退化。在过去的 5 年中，我们一直采用微创直接前入路进行髋关节股骨髋臼成形术（FAO）。2006 年 1 月至 2011 年 2 月，共有 293 髋（265 例患者）由同一位医生行微创直接前入路 FAO 治疗；其中 156 髋（149 例患者）获得至少 2 年随访，平均随访 2.3 年（范围 2.0 至 4.2 年）。术前简明健康调查问卷 36 项、西部安大略省和麦克马斯特大学关节炎指数、加利福尼亚大学洛杉矶分校、改良 Harris 髋关节评分和 Super Simple Hip 评分均显著改善（P＜0.001）。本研究表明微创 FAO 手术具有良好的中期效果，可缓解疼痛，使髋关节撞击症年轻患者恢复活动能力。还需要进一步研究来确定 FAO 失败的风险因素和理想的患者选择。
