Triple Pelvic Osteotomy in the Treatment of pincer type Femoroacetabular impingement Syndrome Triple Pelvic Osteotomy for FAI

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064211%3A_____%2F25%3AW0000008" target="_blank" >RIV/00064211:_____/25:W0000008 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11110/25:10499988

Result on the web

<a href="https://dx.doi.org/10.22359/cswhi_16_1_2_09" target="_blank" >https://dx.doi.org/10.22359/cswhi_16_1_2_09</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.22359/cswhi_16_1_2_09" target="_blank" >10.22359/cswhi_16_1_2_09</a>

Result language

angličtina

Original language name

Triple Pelvic Osteotomy in the Treatment of pincer type Femoroacetabular impingement Syndrome Triple Pelvic Osteotomy for FAI

Original language description

Purpose: Femoroacetabular impingement (FAI) syndrome is a dynamic contributor to hip arthritis. It is frequently identified in young adults with no other underlying reasons for hip discomfort. The pincer type of FAI, which is the focus of this study, is usually observed in inactive middle-aged women. This study aimed to assess our group of patients who underwent surgical treatment for pincer or combined types of FAI, examining their clinical and radiological outcomes, as well as any complications arising from the surgery. Methods: Eighteen patients identified with pincer or combined type FAI underwent triple pelvic reverse osteotomy from 2011 to 2020, and their progress was tracked in a prospective study for both clinical and radiological assessment. The average age of the patients was 37.3 years, with a range of 28.0 to 45.0 years. Follow-up assessments were conducted at mid-term. MRI scans were utilized to accurately assess the retroversion of the acetabulum both pre-and post-surgery. Subjective evaluations were carried out using Harris Hip Scores (HHS), Visual Analog Scale (VAS) scores, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, with Wilcoxon tests applied for paired samples (the significance level was set at 95%, p<0.05). A comparison of preoperative and post-operative data was conducted to assess clinical outcomes. Results: Statistically significant improvement was observed in MRI measurements after triple pelvic osteotomy for the treatment of pincer or combined-type FAI. The HHS improved from 55.1 to 91.4, with preoperative MRIs showing a median retroversion of 5.35 degrees and post-operative MRIs indicating anteversion at 26.35 degrees. WOMAC scores were at a median of 69.9 prior to surgery and increased to 94.15 afterward, with a statistically significant result (p<7.629 x 10-6). After surgery, 22% (4 out of 18 patients) showed signs of clinically relevant posterior pelvic femoroacetabular impingement (FAI), although this finding was not considered significant due to the small sample size, which was a limitation of our study. Conclusion: This surgical approach is a safe method for restoring hip mobility. For patients with pincer or combined-type of FAI, the authors recommend performing surgical pelvic osteotomy rather than hip arthroscopy, as it is an extra-articular operation and may be more effective in addressing intra-articular arthritis.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30304 - Public and environmental health

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

CLINICAL SOCIAL WORK AND HEALTH INTERVENTION

ISSN

2222-386X

e-ISSN

2076-9741

Volume of the periodical

16

Issue of the periodical within the volume

1-2

Country of publishing house

AT - AUSTRIA

Number of pages

162

Pages from-to

-

UT code for WoS article

001518614300004

EID of the result in the Scopus database

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