Arthroscopic femoral osteochondroplasty for cam femoroacetabular impingement in patients over 60 years of age

A. Javed, J. M. O'Donnell
2011 Journal of Bone and Joint Surgery  
We reviewed the clinical outcome of arthroscopic femoral osteochondroplasty for cam femoroacetabular impingement performed between August 2005 and March 2009 in a series of 40 patients over 60 years of age. The group comprised 26 men and 14 women with a mean age of 65 years (60 to 82). The mean follow-up was 30 months (12 to 54). The mean modified Harris hip score improved by 19.2 points (95% confidence interval 13.6 to 24.9; p < 0.001) while the mean non-arthritic hip score improved by 15.0
more » ... improved by 15.0 points (95% confidence interval 10.9 to 19.1, p < 0.001). Seven patients underwent total hip replacement after a mean interval of 12 months (6 to 24 months) at a mean age of 63 years (60 to 70). The overall level of satisfaction was high with most patients indicating that they would undergo similar surgery in the future to the contralateral hip, if indicated. No serious complications occurred. Arthroscopic femoral osteochondroplasty performed in selected patients over 60 years of age, who have hip pain and mechanical symptoms resulting from cam femoroacetabular impingement, is beneficial with a minimal risk of complications at a mean follow-up of 30 months. 2. Ganz R, Leunig M, Leunig-Ganz K, Harris WH. The etiology of osteoarthritis of the hip: an integrated mechanical concept. Clin Orthop 2008;466:264-72. 3. Byrd JW, Jones KS. Arthroscopic femoroplasty in the management of cam-type femoroacetabular impingement. Clin Orthop 2009;467:739-46. 4. Ganz R, Gill TJ, Gautier E, et al. Surgical dislocation of the adult hip: a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg [Br] 2001;83-B:1119-24. 5. Beck M, Leunig M, Parvizi J, et al. Anterior femoroacetabular impingement. Part II: midterm results of surgical treatment. Clin Orthop 2004;418:67-73.
doi:10.1302/0301-620x.93b3.25262 pmid:21357953 fatcat:rooeaswqubfobpfudqxtsrn4oi