Short-term efficacy of hip arthroscopy in the treatment of femoroacetabular impingement syndrome without a perineal post traction
Objective:To explore short-term clinical effectiveness of hip arthroscopy in the treatment of FAI syndrome without a perineal post traction.Methods:A retrospective study was conducted on a total of 20 patients who underwent hip arthroscopy for femoroacetabular impingement in our department from January 2022 to January 2023.The patients included 11 females and 9 males,aged(38.24±10.46)years on average.Hip arthroscopic surgery without a perineal post traction was performed for all patients to received arthroscopic acetabuloplasty and to suture or clean the injured glenoid labrum.Arthroscopic osteoplasty was performed of the"cam-like"hyperplasia of the femoral head and neck.The range of hip motion,α angle,LCE angle,visual analogue scale(VAS)and modified Harris hip score were recorded before operation and at the final follow up.Results:The incision of all patients healed well.The numbness of dorsalis pedis region occurred in one patient after operation,the symptoms disappeared within one month after neurotrophic drug treatment.None of the patients occurred perineal region hematoma,lateral thigh numbness.The mean duration of follow-up was(8.04±1.21)months(range,6-10 months)in all the patients.At the last follow-up,the hip flexion range of motion and modified Harris hip score were higher than those before operation,while the α angle,LCE angle and VAS score were lower than those before operation,the difference was significant(all P<0.05).Conclusions:The hip arthroscopy without a perineal post traction.can significantly relieve symptoms,improve hip function and satisfactory short-term efficacy in patients with FAI,,and can effectively avoid the occurrence of perineal complications.
Femoral Acetabular Impact SyndromeTraction Without Perineal PostHip Arthroscopy