ARTHROSCOPIC FEMORAL OSTEOPLASTY FOR CAM-TYPE FEMOROACETABULAR IMPINGEMENT IN PATIENTS OVER 60 YEARS OF AGE.

A. Javed, J. M. O’Donnell
From St. Vincent and Mercy Private Hospital, Melbourne, Australia
J Bone Joint Surg [Br] 2011;93-B:326-331.
This paper reviewed the clinical outcome after arthroscopic femoral osteoplasty for cam-type femoroacetabular impingement in patients operated on between August 2005 and March 2009, in a series of 40 patients aged over 60 years. The group consisted of 26 men and 14 women with a mean age of 65 years (60 to 82). The mean follow-up was 30 months (12 to 54).
The mean modified Harris hip score improved by 19.2 points (95% confidence interval 13.6 to 24.9, p<0.001), while the mean non-arthritic hip score improved by 15.0 points (95% confidence interval 10.9 to 19.1, p<0.001). Seven patients underwent total hip arthroplasty after a mean interval of 12 months (6 to 24 months), at a mean age of 63 years (60 to 70). Overall satisfaction was high, with most patients indicating that they would undergo similar surgery again in the future on the corresponding hip, if needed. No serious complications occurred.
Arthroscopic femoral osteoplasty in selected patients aged over 60 years who suffer hip pain and mechanical symptoms caused by femoroacetabular impingement is beneficial, with a very low risk of complications, at a mean follow-up of 30 months.