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Anterior Femoroacetabular Impingement: Part II. Midterm Results of Surgical Treatment

Beck, Martin, Leunig, Michael, Parvizi, Javad, Boutier, Vincent, Wyss, Daniel, Ganz, Reinhold·2004·Clinical Orthopaedics and Related Research

Abstract

Femoroacetabular impingement has been shown to cause labral and chondral lesions and leads to osteoarthrosis of the hip. With the elimination of the pathogenic cause we hope to prevent or delay additional degeneration of the hip. Fourteen men and five women with a mean age of 36 years (range, 21-52 years) were treated with a surgical dislocation and offset creation of the hip. The followup averaged 4.7 years (range, 4-5.2 years). Using the Merle d'Aubigné hip score, 13 hips were rated excellent to good, with the pain score improving from 2.9 points to 5.1 points at the latest followup. There was no avascular necrosis of the femoral head. Five of the 19 patients, two with Grade 2 osteoarthrosis, two with Grade 1 osteoarthrosis but severe acetabular cartilage damage, and one with untreated ossified labrum had subsequent total hip arthroplasty (THA). In the stable hips without subluxation of the head into the acetabular cartilage defect, no additional joint space narrowing occurred. Surgical dislocation with correction of femoroacetabular impingement yields good results in patients with early degenerative changes not exceeding Grade 1 osteoarthrosis. This procedure is not suitable for patients with advanced degenerative changes and extensive articular cartilage damage.

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Metadata

Authors
Beck, M., Leunig, M., Parvizi, J., Boutier, V., Wyss, D., & Ganz, R.
Venue
Clinical Orthopaedics and Related Research
Published
2004-01
Volume
418
Issue
418
Pages
67-73
ISSN
0009-921X (ISSN-L)
OpenAlex
W2022063921
Cited by
849
References
26
FWCI
36.35
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Anterior Femoroacetabular Impingement: Part II. Midterm Results of Surgical Treatment. https://app.cochat.ai/papers/10.1097/00003086-200401000-00012
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Beck, M., Leunig, M., Parvizi, J., Boutier, V., Wyss, D., & Ganz, R. (2004). Anterior Femoroacetabular Impingement: Part II. Midterm Results of Surgical Treatment. Clinical Orthopaedics and Related Research. https://doi.org/10.1097/00003086-200401000-00012

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