McMaster University

McMaster University

Radiographic outcomes FAI correction with open surgical management

We are pleased to share with you a recent publication in Current Reviews in Musculoskeletal Medicine. This publication is entitled "Radiographic outcomes following femoroacetabular impingement correction with open surgical management: a systematic review.".

Please find access to the full-version of the article click here.

Martin RK, Dzaja I, Kay J, Memon M, Duong A, Simunovic N, Ayeni OR. Radiographic outcomes following femoroacetabular impingement correction with open surgical management: a systematic review. Curr Rev Musculoskelet Med. 2016 Aug 31. [Epub ahead of print]

Abstract

Femoroacetabular impingement (FAI) is a common cause of hip pain, and open surgical approaches remain an important treatment option for FAI. This systematic review of the literature sought to determine what post-operative radiographic outcomes have been reported following open surgical correction of FAI. After screening and full-text review, 18 studies involving 1192 hips in 1084 patients were included for analysis. In total, 24 radiological outcomes were reported. CAM-type FAI was most frequently assessed using the alpha angle (61.1 %) and head-neck offset/head-neck offset ratio (33.3 %). Lateral center edge angle (27.8 %) and the acetabular index (22.2 %) were the most commonly reported outcomes for pincer-type FAI. The results of this review suggest that reporting of post-operative radiographic outcomes is variable, that no single radiographic parameter is optimal, and that the clinician must use a combination of reproducible measurements, together with their clinical examination, to confirm adequate restoration of normal hip morphology.


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