Daniel Bertoluci Futuro¹*, Max Rogerio Freitas Ramos², Marco A Teloken³, Marco Antônio N Mibielli⁴, Roberta Montello Amaral⁵, Mauro Geller⁶, Carlos Pereira Nunes⁷ and Sandro Santos de Silos⁸

¹M.Sc. in Videoendoscopic Surgery (UNIRIO), Orthopedic Surgeon, Member of the Brazilian Society of Orthopedics and Traumatology (SBOT), Member of the Brazilian Hip Society (SBQ), Princess Elizabeth Orthopedic Centre Fellow, Exeter, England, Member of the American Academy of Orthopedic Surgeons (AAOS), Former Professor in the Graduate Program of the Universidade Fundação Educacional Serra dos Órgãos (UNIFESO), Teresópolis, RJ, Brazil
²D.Sc. in Orthopedics, Full Professor at the Federal University of the State of Rio de Janeiro (UNIRIO), Coordinator of the Professional Master's Degree in the Line of Research in Videoendoscopic and Minimally Invasive Surgeries in Orthopedics, Head of the Orthopedics and Traumatology Service at the University Hospital Gaffree e Guinle, Brazil
³D.Sc. in Medicine, Adjunct Professor at FEEVALE- RS, Brazil, Orthopedic Surgeon, Member of the Brazilian Society of Orthopedics and Traumatology (SBOT), Member of the Brazilian Hip Society (SBQ), Brazil
⁴M.Sc. in Orthopedics at the Federal University of Rio de Janeiro (UFRJ), Orthopedic Surgeon, Member of the Medical Academy of the State of Rio de Janeiro (ACAMERJ), Member of the Brazilian Society of Orthopedics and Traumatology (SBOT), Member of the Brazilian Hip Society (SBQ), Founding Member of the Brazilian Society of Pediatric Orthopedics (SBOP), Professor Emeritus of the Universidade Fundação Educacional Serra dos Órgãos (UNIFESO), Teresópolis, RJ, Brazil, Supervisor of the Residency Program in Orthopedics and Traumatology of the Hospital das Clínicas de Teresópolis Costantino Ottaviano, Teresópolis, RJ, Brazil
⁵D.Sc. in Production Engineering (Finances) from PUC, Rio de Janeiro, RJ, Brazil, Head Professor at the Universidade Fundação Educacional Serra dos Órgãos (UNIFESO), Teresópolis, RJ, Brazil
⁶D.Sc. in Clinical Medicine at the Federal University of Rio de Janeiro (UFRJ), Full Professor of Immunology and Microbiology at Universidade Fundação Educacional Serra dos Órgãos (UNIFESO), Teresópolis, RJ, Brazil, Titular Professor of Postgraduate Studies in Clinical Immunology at the Carlos Chagas Medical Postgraduate Institute, Collaborating Professor at the New York University Scholl of Medicine, Brazil
⁷Adjunct Professor at the Universidade Fundação Educacional Serra dos Órgãos (UNIFESO), Full Member of the Medical Academy of the State of Rio de Janeiro (ACAMERJ), Brazil
⁸Orthopedist and Member of the Brazilian Society of Orthopedics and Traumatology (SBOT), Member of the Brazilian Society of Orthopedic Trauma (SBTO), Professor at the Medical School of the Universidade Fundação Educacional Serra dos Órgãos (UNIFESO), Brazil

*Corresponding Author: Daniel Bertoluci Futuro, M.Sc. in Videoendoscopic Surgery (UNIRIO), Orthopedic Surgeon, Member of the Brazilian Society of Orthopedics and Traumatology (SBOT), Member of the Brazilian Hip Society (SBQ), Princess Elizabeth Orthopedic Centre Fellow, Exeter, England, Member of the American Academy of Orthopedic Surgeons (AAOS), Former Professor in the Graduate Program of the Universidade Fundação Educacional Serra dos Órgãos (UNIFESO), Teresópolis, RJ, Brazil.

Received: March 27, 2024; Published: April 04, 2024

Abstract

Objectives: To compare clinical, functional, and radiographic outcomes of patients subjected to the anterior mini-open approach with those subjected to the outside-in arthroscopic approach for the treatment of femoroacetabular impingement (FAI).

Methods: Retrospective case-control study with clinical and radiographic assessments of patients subjected to surgical treatment of FAI between July 2011 and May 2016. The outcomes were compared between the groups. The assessments were made with the Merle- D’aubigné-Postel, Western Ontario and McMaster Universities Osteoarthritis Index scores and pain visual analog scale, in addition to measurements of internal rotation of the hip and the FAI provocation test. Radiographically, the patients were assessed according to Tönnis classification and to alpha angle measurements. The chi-square and Student’s t tests were used for statistical analyses.

Results: Twenty-three patients were included – 10 subjected to the mini-open approach (Group A) and 13 subjected to arthroscopic surgery (Group B). The mean postoperative follow-up of the patients in Group A was 5.5 years and 90% showed clinical and functional improvement. Radiographically, the mean alpha angle improved and Tönnis grade did not deteriorate in any patient. In Group B, the mean postoperative follow-up was 3.6 years and all patients showed clinical and functional improvement. The mean alpha angle improved and no radiographic changes occurred in Tönnis grade. Both groups tested negative for impingement and exhibited improvement of internal rotation of the hip in the postoperative period. The clinical and radiographic outcomes were statistically similar between the groups.

Conclusions: The study demonstrated that surgical treatment of FAI had good clinical, functional, and radiographic outcomes in the midterm follow-up period with a low complication rate in both techniques.

Keywords: Femoroacetabular Impingement; Hip Arthroscopy; Anterior Approach; Complications

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Citation

Citation: Daniel Bertoluci Futuro., et al. “Preliminary Findings of Femoroacetabular Impingement Treated Via Anterior Mini-Open Approach and Arthroscopy".Acta Scientific Orthopaedics 7.5 (2024): 04-26.

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Copyright: © 2024 Daniel Bertoluci Futuro., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.