gms | German Medical Science

Deutscher Kongress für Orthopädie und Unfallchirurgie, 75. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie, 97. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie, 52. Tagung des Berufsverbandes der Fachärzte für Orthopädie und Unfallchirurgie

25. - 28.10.2011, Berlin

5-year follow-up of surgical dislocation of the hip for the treatment of Femoroacetabular impingement

Meeting Abstract

  • S. Steppacher - Universität Bern, Inselspital, Orthopädische Chirurgie, Bern, Switzerland
  • C. Albers - Universität Bern, Inselspital, Orthopädie, Bern, Switzerland
  • M. Tannast - Universität Bern, Inselspital, Orthopädie, Bern, Switzerland
  • K.A. Siebenrock - Universität Bern, Inselspital, Abteilung für Orthopädische Chirurgie, Bern, Switzerland

Deutscher Kongress für Orthopädie und Unfallchirurgie. 75. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie, 97. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie, 52. Tagung des Berufsverbandes der Fachärzte für Orthopädie. Berlin, 25.-28.10.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. DocPO13-1620

DOI: 10.3205/11dkou573, URN: urn:nbn:de:0183-11dkou5738

Published: October 18, 2011

© 2011 Steppacher et al.
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Outline

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Questionnaire: Femoroacetabular impingement (FAI) leads to hip pain and osteoarthrosis. The gold standard of treatment is the surgical hip dislocation with labrum reattachment performed since 2001. We investigated the 5-year outcome of this procedure and calculated predective factors for poor outcome.

Methods: We retrospectively evaluated 97 hips (75 patients) that underwent surgical dislocation at a mean age of 32±8.3 (range, 15 50) years. The average follow-up was 6.0 0.6 (5.0 7.1) years. Preoperatively, the mean Merle d´Aubign (MDA) score was 15.3±1.4 (8 18) and the mean Tnnis osteoarthosis (OA) score was

The cumulative survivorship at 5 years was 93.8% (95% confidence interval, 89.0 98.6%). At followup, the MDA score was significantly increased to 17.2 1.2 (12-18) (p=0.02) and the Tnnis score did not significantly increase to 0.22 0.46 (0-2). Failure was defined as conversion to a total hip arthroplasty (THA), a MdA score of less than 15, and a progression of OA at follow up.0.29 0.55 (0 - 2) (p=0.56). Failures (15 hips, 15%) included 7 hips (7%) that converted to a THA, 7 hips (7%) with progression of OA, and 1 hip (1%) with a MDA score of less than 15 at followup.

Results and Conclusions: Surgical hip dislocation has the potential to prevent the progression of osteoarthrosis and to decrease hip pain in patients with FAI.