The comparison of arthroscopy and mini open surgery results in femoroacetabular impingement surgical treatment


DAVULCU C. D., ÜNLÜ M. C.

Kuwait Medical Journal, vol.54, no.3, pp.399-404, 2022 (SCI-Expanded, Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 54 Issue: 3
  • Publication Date: 2022
  • Journal Name: Kuwait Medical Journal
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE
  • Page Numbers: pp.399-404
  • Keywords: arthroscopy, femoroacetabular impingement syndrome, mini-open surgery, osteoarthritis
  • Istanbul University-Cerrahpasa Affiliated: Yes

Abstract

© 2022, Kuwait Medical Association. All rights reserved.Objective: Femoroacetabular impingement syndrome (FAIS) is a progressive condition leading to coxarthrosis in young adults, especially if left untreated. In this study, we aim to compare the early clinical results and patient satisfaction in FAIS patients who are treated with mini open surgery and arthroscopic method. Design: Retrospective study Setting: Department of Orthopaedics and Traumatology, Istanbul University Cerrahpasa Faculty of Medicine Subjects: Twenty-one patients were treated with mini open surgery and 23 patients were treated with arthroscopic method. Total of 44 patients were treated between August 2009 and October 2015. Intervention: Mini open surgery and arthroscopic method for FAIS patients Main outcome measures: Preoperative and postoperative range of motion degrees, hip outcome score (HOS), WOMAC, visual analog scale (VAS), modified Harris Hip Score (mHHS), nonarthritic hip score (NAHS) and perioperative and postoperative complications were evaluated. Results: We determined a statistically significant increase in mHHS, WOMAC, HOS, NAHS and a significant decrease in alfa angle, CE angle, VAS pain score in both mini open surgery and arthroscopy groups. The score results other than VAS significantly improved in favor of mini open surgery patients (P<0.05). Even though VAS score was also improved in mini open surgery group, it was not statistically significant (P<0.521). Conclusion: Early term evaluation of FAIS treatment results of patients with both methods are found to be satisfactory. However, the determination of superiority of these techniques is not possible because of limited research available. We approve that the decision making between these techniques should be based on preoperative evaluation and surgeons’ experience.