AI Article Synopsis
- Ganz surgical hip dislocation via an anterolateral approach was used to treat 21 hips in 20 young patients suffering from anterolateral femoroacetabular impingement (FAI), which included various underlying conditions.
- The study showed significant improvements in hip flexion and abduction post-surgery, though the overall patient-reported outcomes (measured by modified Harris hip score) did not show significant change.
- The anterolateral approach is deemed a safe alternative to traditional posterior techniques, effectively preserving the blood supply to the femoral head while allowing for additional corrective procedures on the femur.
Article Abstract
Background: Ganz surgical hip dislocation via a posterior (Kocher-Langenbeck) approach is a popular procedure in the management of femoroacetabular impingement (FAI). We report the results of surgery performed through an anterolateral (Watson-Jones) approach in the management of anterolateral FAI.
Methods: Twenty-one hips in 20 patients (mean age at the time of operation, 17.3 years) were treated surgically using an anterolateral approach: 12 hips with Legg-Calvé-Perthes disease, three septic hips, three hips with avascular necrosis (combined with slipped capital femoral epiphysis [SCFE], femoral neck fracture, and developmental dislocation of the hip), two hips with epiphyseal dysplasia, and one hip with SCFE. All patients had anterolateral FAI. Surgical hip dislocation was performed in four hips with trochanteric osteotomy. Combined osteotomies were for neck lengthening in 11 hips, varus or valgus osteotomy in the proximal femur in four hips, and pelvic osteotomy in four hips. Clinical results were evaluated using a modified Harris hip score (mHHS).
Results: Range of hip flexion and abduction showed statistically significant improvement after surgery; however, the improvement in mean mHHS was not statistically significant.
Conclusions: An anterolateral approach can be used as an alternative to a posterior approach in the management of anterolateral FAI with or without hip dislocation while safely preserving the blood supply to the femoral head and allowing simultaneous procedures in the proximal femur.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6695336 | PMC |
| http://dx.doi.org/10.4055/cios.2019.11.3.337 | DOI Listing |
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