[Is open surgery effective in early-term in patients with femoroacetabular impingement syndrome?]. / Femoroasetabuler sikisma sendromlu hastalarda açik cerrahi tedavi erken dönemde etkili midir?

ABSTRACT

OBJECTIVES: In this study, we aimed to evaluate the efficacy of open surgical treatment including safe femoral head dislocation, femoral neck osteochondroplasty and labral repair in early-term following surgery. PATIENTS AND METHODS: Between April 2006 and January 2010, 22 hips of 22 patients (13 males, 9 females; mean age 33.3 years; range 17 to 52 years) who underwent open surgical treatment due to femoroacetabular impingement syndrome (FAIS) were retrospectively analyzed. Thirteen of the patients had bilateral and nine patients had unilateral FAIS. The mean follow-up was 27.5 months (range, 6-51 months). The functional evaluation of the patients was performed using Harris hip score both pre- and postoperatively after union was achieved in the trochanteric osteotomy site. RESULTS: The mean preoperative Harris score was 54.3, increasing to 70.6 postoperatively. The mean internal rotation of hip, which was 10.5 degrees preoperatively, increased to 15.2 degrees postoperatively. With regard to the patient satisfaction, 18 of 22 patients reported that they were satisfied with the surgical treatment. CONCLUSION: Our study results showed that we concluded that safe hip dislocation and open osteochondroplasty of femoral head is an effective method in the treatment of FAIS, originating from different etiological factors.