Journal of clinical orthopaedics and trauma · 2026
Hybrid arthroscopy and mini-open direct anterior approach for femoroacetabular impingement: A case series in Indian patients.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Manhas Vikrant, Behera Abhijit, Sehrawat Sandeep, Samanta Arpan, Jose Leander
Аннотация
BACKGROUND: Surgical treatment of symptomatic femoroacetabular impingement (FAI) ranges from open surgical hip dislocation (SHD) to minimally invasive arthroscopy and/or mini-open techniques. Arthroscopy offers excellent intra-articular visualisation but is limited in addressing large cam deformities, whereas the mini-open direct anterior approach (DAA) allows direct femoral head-neck access but limited central-compartment assessment. A hybrid technique combining both modalities may overcome these individual limitations.
METHODS: Fifteen patients (11 men, 4 women) operated by a hybrid arthroscopy-assisted mini-open DAA for symptomatic FAI were reviewed retrospectively in this descriptive feasibility case series. Diagnosis was confirmed on radiographs and CT pelvis. Pre- and post-operative values of modified Harris Hip Score (mHHS), Visual Analog Scale (VAS), hip range of motion, alpha angle, anterior head-neck offset ratio (HNO) were compared using the paired t-test. Ability to perform culturally relevant activities of daily living (ADLs) were assessed descriptively. Complications, if any were noted.
RESULTS: The average age was 28.3 years (range: 23-38) and mean follow-up was 18 months (range: 10-30). Both mHHS and VAS improved significantly compared to pre-operative values (P < 0.001). Both alpha angle (64.7°→36.8°) and anterior head-neck offset ratio (0.11 → 0.48) improved significantly (P < 0.001). All patients were able to perform socially and culturally relevant ADLs within 4.2 months (range: 3-6) post-operatively. As all patients had Tönnis grade 0 at baseline and the follow-up was short (mean 18 months), radiographic progression was not expected. No nerve injury, no conversion to total hip arthroplasty (THA), and no major complications were recorded.
CONCLUSION: This hybrid approach is a technically feasible surgical approach for FAI with an acceptable early safety profile in experienced hands. Findings of this study are preliminary and descriptive; prospective comparative studies are required before conclusions about safety, reproducibility, or superiority can be drawn.
METHODS: Fifteen patients (11 men, 4 women) operated by a hybrid arthroscopy-assisted mini-open DAA for symptomatic FAI were reviewed retrospectively in this descriptive feasibility case series. Diagnosis was confirmed on radiographs and CT pelvis. Pre- and post-operative values of modified Harris Hip Score (mHHS), Visual Analog Scale (VAS), hip range of motion, alpha angle, anterior head-neck offset ratio (HNO) were compared using the paired t-test. Ability to perform culturally relevant activities of daily living (ADLs) were assessed descriptively. Complications, if any were noted.
RESULTS: The average age was 28.3 years (range: 23-38) and mean follow-up was 18 months (range: 10-30). Both mHHS and VAS improved significantly compared to pre-operative values (P < 0.001). Both alpha angle (64.7°→36.8°) and anterior head-neck offset ratio (0.11 → 0.48) improved significantly (P < 0.001). All patients were able to perform socially and culturally relevant ADLs within 4.2 months (range: 3-6) post-operatively. As all patients had Tönnis grade 0 at baseline and the follow-up was short (mean 18 months), radiographic progression was not expected. No nerve injury, no conversion to total hip arthroplasty (THA), and no major complications were recorded.
CONCLUSION: This hybrid approach is a technically feasible surgical approach for FAI with an acceptable early safety profile in experienced hands. Findings of this study are preliminary and descriptive; prospective comparative studies are required before conclusions about safety, reproducibility, or superiority can be drawn.