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The anterior mini-open approach for femeroacetabular impingement : Gait and functional assessment at one year post-surgery

This study aimed to evaluate the outcome of the anterior mini-open
approach of the hip for femoroacetabular impingement (FAI) at one year
post-surgery by use of questionnaires, functional capacity tests and
biomechanical studies. DESIGN: This is a case series prospective study. A total
of 14 patients diagnosed of FAI were included. Patients were classified according
to Tonnis scale. Hip joint mobility, Faber distance, pain levels (assessed on a
visual analogic scale [VAS]), 6-minute walking test (6MWT), Timed up & go test
(TUGT), Stairs climbing test, Lequesne functional index, and gait analysis were
assessed prior to and 12 months after surgery. RESULTS: Pain significantly
improved following surgery. An improvement of 80% or more was found in 6 patients
(42.85% of cases). Improvements were also seen in time support of the affected
limb and in the braking force of the contralateral limb, although these are not
clinically significant. No statistically significant changes were seen in
functional capacity tests. At 12 months after surgery, meralgia paraesthetica
presented in 3 patients (21.4%), and a total hip arthroplasty was performed in 1
patient. CONCLUSIONS: There was significant reduction in pain intensity 12 months
following mini-open approach for FAI compared to preoperatively. Improvement in
gait analysis and functional capacity was also seen, although not statistically
significant.
CI - Copyright (c) 2015. Published by Elsevier Masson SAS.

Langue : ANGLAIS

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