Femoroacetabular Impingement and the Effect of Osteochondroplasty on Hip Osteoarthritis Prevention: The Pandora’s Box Opening Process

Objective. This study was conducted to assess the effect of osteochondroplasty on osteoarthritis (OA) prevention, comparing radiological evolution between identical hips from the same patient who had undergone unilateral surgery. Design. We retrospectively reviewed radiological evolution between hip...

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Autores: Lamo de Espinosa Vázquez de Sola, José María, Gómez-Álvarez, Jorge, Roquet-Jalmar, Elena Pascual, Iribarren, Asier, Recke, Anne, Cruz Roa, María, Valentí-Azcárate, Andrés, Granero-Moltó, Froilán, San‑Julián, Mikel
Formato: artículo
Fecha de publicación:2024
País:España
Recursos:Universidad Católica de Valencia San Vicente Mártir
Repositorio:RIUCV. Repositorio de la Universidad Católica de Valencia San Vicente Mártir
Idioma:inglés
OAI Identifier:oai:riucv.ucv.es:20.500.12466/5114
Acesso em linha:http://hdl.handle.net/20.500.12466/5114
Access Level:acceso abierto
Palavra-chave:Femoroacetabular impingement
Hip arthroscopy
Osteochondroplasty
Osteoarthritis
Hip preservation surgery
3213.04 Cirugía de Huesos
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spelling Femoroacetabular Impingement and the Effect of Osteochondroplasty on Hip Osteoarthritis Prevention: The Pandora’s Box Opening ProcessLamo de Espinosa Vázquez de Sola, José MaríaGómez-Álvarez, JorgeRoquet-Jalmar, Elena PascualIribarren, AsierRecke, AnneCruz Roa, MaríaValentí-Azcárate, AndrésGranero-Moltó, FroilánSan‑Julián, MikelFemoroacetabular impingementHip arthroscopyOsteochondroplastyOsteoarthritisHip preservation surgery3213.04 Cirugía de HuesosObjective. This study was conducted to assess the effect of osteochondroplasty on osteoarthritis (OA) prevention, comparing radiological evolution between identical hips from the same patient who had undergone unilateral surgery. Design. We retrospectively reviewed radiological evolution between hips with similar shape from the same patient who had undergone unilateral surgery. In all, 56 FAI patients (112 hips) with a mean age of 42.18 ± 9.16 years and had undergone unilateral arthroscopy treatment have been included. Four independent researchers measured Wiberg, Acetabular and Alpha angles, Extrusion index, and Tönnis classification preoperatively to verify that operated and non-operated hips had the same shape. OA evolution was assessed by joint space width (JSW) in 3 different articular points and Tönnis classification. Results. No preoperative anatomical differences were present between groups (P > 0.05). At the end of follow-up (31.9 months), a decrease of JSW in the 3 points measured was found in OP hips (OP vs. N-OP; P < 0.01). These results were correlated with changes in the proportion of patients who progressed to grade III in Tönnis classification (from 1.3% preoperative to 23.2% at the end of follow-up). Conclusions. Osteochondroplasty and labrum procedures were not associated with OA prevention. The OP hips showed a faster OA degeneration, which was not seen in the N-OP. These results will encourage hip surgeons to perform further investigations to avoid the “Pandora’s Box Opening Process20252025-01-1420242024-06-0120242024-06-01journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/20.500.12466/5114reponame:RIUCV. Repositorio de la Universidad Católica de Valencia San Vicente Mártirinstname:Universidad Católica de Valencia San Vicente MártirInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:riucv.ucv.es:20.500.12466/51142026-06-19T08:32:07Z
dc.title.none.fl_str_mv Femoroacetabular Impingement and the Effect of Osteochondroplasty on Hip Osteoarthritis Prevention: The Pandora’s Box Opening Process
title Femoroacetabular Impingement and the Effect of Osteochondroplasty on Hip Osteoarthritis Prevention: The Pandora’s Box Opening Process
spellingShingle Femoroacetabular Impingement and the Effect of Osteochondroplasty on Hip Osteoarthritis Prevention: The Pandora’s Box Opening Process
Lamo de Espinosa Vázquez de Sola, José María
Femoroacetabular impingement
Hip arthroscopy
Osteochondroplasty
Osteoarthritis
Hip preservation surgery
3213.04 Cirugía de Huesos
title_short Femoroacetabular Impingement and the Effect of Osteochondroplasty on Hip Osteoarthritis Prevention: The Pandora’s Box Opening Process
title_full Femoroacetabular Impingement and the Effect of Osteochondroplasty on Hip Osteoarthritis Prevention: The Pandora’s Box Opening Process
title_fullStr Femoroacetabular Impingement and the Effect of Osteochondroplasty on Hip Osteoarthritis Prevention: The Pandora’s Box Opening Process
title_full_unstemmed Femoroacetabular Impingement and the Effect of Osteochondroplasty on Hip Osteoarthritis Prevention: The Pandora’s Box Opening Process
title_sort Femoroacetabular Impingement and the Effect of Osteochondroplasty on Hip Osteoarthritis Prevention: The Pandora’s Box Opening Process
dc.creator.none.fl_str_mv Lamo de Espinosa Vázquez de Sola, José María
Gómez-Álvarez, Jorge
Roquet-Jalmar, Elena Pascual
Iribarren, Asier
Recke, Anne
Cruz Roa, María
Valentí-Azcárate, Andrés
Granero-Moltó, Froilán
San‑Julián, Mikel
author Lamo de Espinosa Vázquez de Sola, José María
author_facet Lamo de Espinosa Vázquez de Sola, José María
Gómez-Álvarez, Jorge
Roquet-Jalmar, Elena Pascual
Iribarren, Asier
Recke, Anne
Cruz Roa, María
Valentí-Azcárate, Andrés
Granero-Moltó, Froilán
San‑Julián, Mikel
author_role author
author2 Gómez-Álvarez, Jorge
Roquet-Jalmar, Elena Pascual
Iribarren, Asier
Recke, Anne
Cruz Roa, María
Valentí-Azcárate, Andrés
Granero-Moltó, Froilán
San‑Julián, Mikel
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Femoroacetabular impingement
Hip arthroscopy
Osteochondroplasty
Osteoarthritis
Hip preservation surgery
3213.04 Cirugía de Huesos
topic Femoroacetabular impingement
Hip arthroscopy
Osteochondroplasty
Osteoarthritis
Hip preservation surgery
3213.04 Cirugía de Huesos
description Objective. This study was conducted to assess the effect of osteochondroplasty on osteoarthritis (OA) prevention, comparing radiological evolution between identical hips from the same patient who had undergone unilateral surgery. Design. We retrospectively reviewed radiological evolution between hips with similar shape from the same patient who had undergone unilateral surgery. In all, 56 FAI patients (112 hips) with a mean age of 42.18 ± 9.16 years and had undergone unilateral arthroscopy treatment have been included. Four independent researchers measured Wiberg, Acetabular and Alpha angles, Extrusion index, and Tönnis classification preoperatively to verify that operated and non-operated hips had the same shape. OA evolution was assessed by joint space width (JSW) in 3 different articular points and Tönnis classification. Results. No preoperative anatomical differences were present between groups (P > 0.05). At the end of follow-up (31.9 months), a decrease of JSW in the 3 points measured was found in OP hips (OP vs. N-OP; P < 0.01). These results were correlated with changes in the proportion of patients who progressed to grade III in Tönnis classification (from 1.3% preoperative to 23.2% at the end of follow-up). Conclusions. Osteochondroplasty and labrum procedures were not associated with OA prevention. The OP hips showed a faster OA degeneration, which was not seen in the N-OP. These results will encourage hip surgeons to perform further investigations to avoid the “Pandora’s Box Opening Process
publishDate 2024
dc.date.none.fl_str_mv 2024
2024-06-01
2024
2024-06-01
2025
2025-01-14
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12466/5114
url http://hdl.handle.net/20.500.12466/5114
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:RIUCV. Repositorio de la Universidad Católica de Valencia San Vicente Mártir
instname:Universidad Católica de Valencia San Vicente Mártir
instname_str Universidad Católica de Valencia San Vicente Mártir
reponame_str RIUCV. Repositorio de la Universidad Católica de Valencia San Vicente Mártir
collection RIUCV. Repositorio de la Universidad Católica de Valencia San Vicente Mártir
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.811543

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