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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11110/25:10499988

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30304 - Public and environmental health

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

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

Název periodika

CLINICAL SOCIAL WORK AND HEALTH INTERVENTION

ISSN

2222-386X

e-ISSN

2076-9741

Svazek periodika

16

Číslo periodika v rámci svazku

1-2

Stát vydavatele periodika

AT - Rakouská republika

Počet stran výsledku

162

Strana od-do

-

Kód UT WoS článku

001518614300004

EID výsledku v databázi Scopus

—