Srpski arhiv za celokupno lekarstvo 2014 Volume 142, Issue 5-6, Pages: 325-329
https://doi.org/10.2298/SARH1406325M
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Early clinical results of surgical treatment of patients with femoroacetabular impingement
Mladenović Desimir (Clinical Center, Orthopedics and Traumatology Clinic, Niš + Faculty of Medicine, Niš)
Anđelković Zoran (General Hospital, Department of Orthopedics and Traumatology, Leskovac)
Vukašinović Zoran (Institute for Orthopedic Surgery “Banjica”, Belgrade + School of Medicine, Belgrade)
Mitković Milorad (Clinical Center, Orthopedics and Traumatology Clinic, Niš + Faculty of Medicine, Niš)
Milenković Saša 
(Clinical Center, Orthopedics and Traumatology Clinic, Niš + Faculty of Medicine, Niš)
Micić Ivan (Clinical Center, Orthopedics and Traumatology Clinic, Niš + Faculty of Medicine, Niš)
Mladenović Marko (Clinical Center, Orthopedics and Traumatology Clinic, Niš)
Introduction. Surgical treatment is the treatment of choice in patients with
symptoms and radiological signs of femoroacetabular impingement. Objective.
Our experience and early results of surgical treatment of patients with signs
of femoroacetabular impingement and early hip osteoarthritis are reported.
Methods. The results of treatment of 21 patients aged 23-54 years with
different types of femoroacetabular impingement are presented. Safe open
surgical dislocation of the hip was performed in all patients. Before and
after surgery, the WOMAC score was performed, clinical and radiographic data
of the operated hips were evaluated and t-tests were used for statistical
analyzes of data. Results. The WOMAC score improved from 70.5 points ( range
56.3 to 89.8 points) to 90.3 points (range 70.3 to 100 points) at one year of
follow-up (p<0.0001), anterior impingement test was negative in all operated
cases, average hip internal rotation improved significantly, no complications
were found, except trochanteric nonunion at the site of osteotomy, which was
reaffixed. Conclusion. Postoperative results have shown that the surgical
approach to treating patients with femoroacetabular impingement is the method
of choice. Three operated patients, with advanced osteoarthritis of the hip,
had to be converted to total hip replacement.
Keywords: femoroacetabular impingement, open surgery, early results
Projekat Ministarstva nauke
Republike Srbije, br. III 41017 i br. III 41004