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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(06): 715-721
DOI: 10.1055/s-0040-1708515
Artigo Original
Quadril

Functional Outcomes of Arthroscopic Treatment in Femoroacetabular Impingement in Patients over 60 Years Old Compared with Patients Aged 40 Years or Younger[*]

Article in several languages: português | English
Bernardo Aguilera-Bohórquez 
1   Unidade de Preservação do Quadril, Instituto de Doenças Osteoarticulares, Centro Médico Imbanaco, Cali, Colômbia
,
Miguel Brugiatti 
2   Centro Médico Imbanaco, Pontificia Universidad Javeriana de Cali, Cali, Colômbia
,
Ruddy Coaquira 
2   Centro Médico Imbanaco, Pontificia Universidad Javeriana de Cali, Cali, Colômbia
,
Orlando Cardozo 
2   Centro Médico Imbanaco, Pontificia Universidad Javeriana de Cali, Cali, Colômbia
,
Erika Cantor 
3   Centro Médico Imbanaco, Research Institute, Cali, Colômbia
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Abstract

Objective To evaluate the functional outcomes of patients diagnosed with femoroacetabular impingement (FAI) older than 60 years, compared with those of patients of age 40 years or younger.

Methods This was a retrospective review of patients with FAI who underwent hip arthroscopy between 2010 and 2015. The patients were adults aged over 60 years with Tönnis ≤ 1 matched in a 1:1 ratio with adults aged 40 years or younger, according to the type of deformity (cam, pincer, or mixed), sex, and the date when the surgery was performed.

Results Thirty-four patients were included in each group. The mean age was 30.6 ± 6.9 years and 65.6 ± 4.6 years in the control and case groups, respectively. There were no significant differences between the groups at 1-year follow-up (p > 0.05). In the group with older patients (case group), we observed a change in the total Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score from 46.3 to 22.0 in the 1st postoperative year, while the control cases improved in the WOMAC score from 38.1 to 7.2 in relation to the preoperative stage.

Conclusion In the group of patients ≤ 40 years old, a considerable change was observed in the WOMAC score without a statistical significance compared with the > 60 years group. This observation suggests that hip arthroscopy is beneficial when there is an appropriate selection of patients with FAI, regardless the age of the patient.

Keywords

hip - arthroscopy - femoroacetabular impingement

* Work performed in the Hip Preservation Unit of the Institute of Osteoarticular Diseases, Centro Médico Imbanaco, Cali, Colombia.




Publication History

Received: 13 December 2018

Accepted: 20 December 2019

Article published online:
02 April 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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