Treatment of femoroacetabular impingement in athletes using a mini-direct anterior approach

The American Journal of Sports Medicine
Steven B CohenJavad Parvizi

Abstract

Femoroacetabular impingement (FAI) is an increasingly common diagnosis in active patients with hip pain. Surgical options for FAI include arthroscopy, open surgical dislocation, or mini-direct anterior approaches. Arthroscopic and open treatments of FAI have been commonly performed and have had promising results in athletes. Hypothesis/ We hypothesized that the mini-direct anterior approach would provide the advantages of a minimally invasive procedure and still allow adequate exposure of the hip joint to successfully treat FAI in an athletic population. The purpose of this study was to determine if a mini-open approach for the treatment of FAI in athletic patients would allow a return to preoperative activity. Case series; Level of evidence, 4. A total of 234 patients (257 hips) with FAI were treated by a mini-open approach; 59 were athletic patients (66 hips) with a preoperative University of California, Los Angeles (UCLA) activity score of 7 or higher or Super Simple Hip (SUSHI) activity score of 70 or greater. Forty-four of the 59 athletic patients (47 hips) have reached 1-year minimum follow-up. No patients were lost to follow-up. The mini-open approach was performed through a 4-cm incision and modified Smith-Peterson appr...Continue Reading

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Citations

Feb 9, 2013·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Claudio Diaz-LedezmaJavad Parvizi
Oct 1, 2014·Journal of Hip Preservation Surgery·Aaron A GlynnMoritz Tannast
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Sep 21, 2020·The Orthopedic Clinics of North America·Steven Yacovelli, Javad Parvizi
Oct 1, 2021·The American Journal of Sports Medicine·Martin S DaveyTom McCarthy

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Methods Mentioned

BETA
total hip arthroplasty

Software Mentioned

SPSS

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