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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 8, 1025-1030.
doi: 10.1302/0301-620X.89B8.19152  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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Arthroscopic treatment of femoroacetabular impingement secondary to paediatric hip disorders

V. M. Ilizaliturri, Jr, MD, Professor1; J. M. Nossa-Barrera, MD, Research/Hip Surgery Fellow1; E. Acosta-Rodriguez, MD, Research/Hip Surgery Fellow1; and J. Camacho-Galindo, MD, Assistant Professor1

1 Adult Joint Reconstruction National Rehabilitation Institute of Mexico, Avenue Mexico, Xochimilco 289, Mexico City 14389, Mexico.

Correspondence should be sent to Professor V. M. Ilizaliturri Jr; e-mail: vichip2002{at}yahoo.com.mx

Open reduction of the prominence at the femoral head-neck junction in femoroacetabular impingement has become an established treatment for this condition. We report our experience of arthroscopically-assisted treatment of femoroacetabular impingement secondary to paediatric hip disease in 14 hips in 13 consecutive patients (seven women, six men) with a mean age of 30.6 years (24 to 39) at the time of surgery. The mean follow-up was 2.5 years (2 to 4).

Radiologically, 13 hips had successful restoration of the normal geometry and only one had a residual deformity. The mean increase in the Western Ontario McMasters Osteoarthritis Index for the series at the last follow-up was 9.6 points (4 to 14). No patient developed avascular necrosis or sustained a fracture of the femoral neck or any other complication.

These findings suggest that femoroacetabular impingement associated with paediatric hip disease can be treated safely by arthroscopic techniques.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General