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Arthroscopy and open surgery are equally efficacious in treating common hip problem in most patients
Date:7/8/2011

Researchers at Hospital for Special Surgery have found that in comparison to open surgery, arthroscopic treatment of a common hip problem that leads to arthritis produces similar outcomes in terms of repairing structural problems in most patients. The study will be published in the July 2011 TK issue of the American Journal of Sports Medicine.

"For the majority of patients with more typical hip impingement, arthroscopic approaches should be just as effective at adequately restoring the mechanics as the open surgical technique," said Bryan T. Kelly, M.D., co-director of the Center for Hip Pain and Preservation (www.hss.edu/hippain) at Hospital for Special Surgery in New York.

In recent years, a hip condition known as femoro-acetabular impingement (FAI) or hip impingement has become widely recognized as the most common cause of early osteoarthritis in patients who don't have arthritis caused by dysplasia (a shallow socket). The hip is a ball-and-socket joint where the upper end of the thigh bone fits into the cup-shaped socket of the pelvis. In a healthy hip joint, the ball rotates freely in the cup, but in some people a bony bump on the upper thigh bone produces a situation where there is inadequate space for the hip bone to move freely in the socket. The result is damage to the socket rim and the cartilage that lines the bones, which can lead to hip arthritis.

This condition can be treated by structural correction of the bone through open surgery or arthroscopic surgery; doctors have been regularly using the latter technique since roughly 2003. Studies comparing arthroscopy against open surgery to treat FAI have shown that the two produce similar outcomes in terms of improving symptoms and returning athletes to their sport of choice. Studies have not, however, examined whether the two surgeries are equal when it comes to achieving structural or mechanical corrections.

To remedy this, investigators enrolled 60 male patients un
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Contact: Phyllis Fisher
phyllis.fisher@gmail.com
212-606-1724
Hospital for Special Surgery
Source:Eurekalert

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