Malagelada Francesc, Del Carmen Virgilio Amin, Barke Samuel J, Guirao Cano Lluis, Pleguezuelos Cobo Eulogio
Department of Orthopaedic and Trauma Surgery, Hospital de Mataró (Consorci Sanitari del Maresme), Carretera Cirera s/n, 08304 Mataró (Barcelona), Spain.
Department of Rehabilitation medicine, Hospital de Mataró (Consorci Sanitari del Maresme), Carretera Cirera s/n, 08304 Mataró (Barcelona), Spain.
Ann Phys Rehabil Med. 2015 Apr;58(2):60-5. doi: 10.1016/j.rehab.2014.09.013. Epub 2015 Jan 7.
This study aimed to evaluate the outcome of the anterior mini-open approach of the hip for femoroacetabular impingement (FAI) at one year post-surgery by use of questionnaires, functional capacity tests and biomechanical studies.
This is a case series prospective study. A total of 14 patients diagnosed of FAI were included. Patients were classified according to Tönnis scale. Hip joint mobility, Faber distance, pain levels (assessed on a visual analogic scale [VAS]), 6-minute walking test (6MWT), Timed up & go test (TUGT), Stairs climbing test, Lequesne functional index, and gait analysis were assessed prior to and 12 months after surgery.
Pain significantly improved following surgery. An improvement of 80% or more was found in 6 patients (42.85% of cases). Improvements were also seen in time support of the affected limb and in the braking force of the contralateral limb, although these are not clinically significant. No statistically significant changes were seen in functional capacity tests. At 12 months after surgery, meralgia paraesthetica presented in 3 patients (21.4%), and a total hip arthroplasty was performed in 1 patient.
There was significant reduction in pain intensity 12 months following mini-open approach for FAI compared to preoperatively. Improvement in gait analysis and functional capacity was also seen, although not statistically significant.
本研究旨在通过问卷调查、功能能力测试和生物力学研究，评估髋关节前侧小切口入路治疗股骨髋臼撞击症（FAI）术后一年的疗效。
这是一项病例系列前瞻性研究。共纳入14例诊断为FAI的患者。患者根据Tönnis量表进行分类。在手术前和术后12个月评估髋关节活动度、Faber距离、疼痛程度（采用视觉模拟量表[VAS]评估）、6分钟步行试验（6MWT）、计时起立行走试验（TUGT）、爬楼梯试验、Lequesne功能指数和步态分析。
术后疼痛明显改善。6例患者（占病例的42.85%）疼痛改善80%或更多。患侧肢体的支撑时间和对侧肢体的制动力也有所改善，尽管这些在临床上并不显著。功能能力测试未见统计学显著变化。术后12个月，3例患者（21.4%）出现股外侧皮神经感觉异常，1例患者接受了全髋关节置换术。
与术前相比，FAI小切口入路术后12个月疼痛强度显著降低。步态分析和功能能力也有所改善，尽管无统计学显著性。
