Research Article
Volume 13 Issue 7 - 2022
Femoral Acetabular Impingement in the Athletes: Surgical Treatment with AMIC Versus Microfractures
Grano Giovanni1*, Pavlidou Maria1, Palermo Augusto2 and Molfetta Luigi3
1General Hospital, Unit of Orthopaedic, Bassano del Grappa, Italy
2Humanitas Hospital, Orthopaedic Unit, Cliniche Gavazzeni, Bergamo, Italy
3University of Genoa, School of Medical and Pharmaceutical Sciences, Research Center of Osteoporosis and Osteoarticular Pathologies, Italy
*Corresponding Author: Grano Giovanni, General Hospital, Unit of Orthopaedic, Bassano del Grappa, Italy.
Received: April 29, 2022; Published: June 10, 2022




Abstract

Femoro-acetabular impingement (FAI) is an anatomo-functional syndrome of the hip, characterized by an abnormal contact between the femoral neck and the acetabulum, predisposing to Osteoarthritis, especially in condition of functional overload, related or not to sport.

Cam impingement refers to an abnormal loss of sphericity of the femoral neck-head junction and a pincer impingement related to anterior hypercover of the acetabulum. Early diagnosis allows to plan arthroscopic surgery to optimize joint congruence and repair chondro-labral lesion, associated to a high percentage of cases. From the initial open surgical therapy, we have now moved on to arthroscopic surgery with several techniques for repairing chondrolabral lesions. The available procedure ranges from Microfracture to cartilage scaffold. Microfractures and AMIC procedure let to mark clinical short term improvement in chondral defect from FAI syndrome in the short term. This study values and compares the clinical outcomes of the arthroscopic surgery with Microfractures and AMIC techniques for the treatment of acetabular chondral defects in the femoro-acetabular impingement. Both arthroscopic surgery are valid procedure to repair medium sized chondral defects on the acetabulum side of the hip during FAI. AMIC technique gives statistically better results for chondral lesions in the presence of the acetabular lip. For minimal invasiveness for the single procedure, surgical time and morbidity are reduced to the minimum. The medium-term results are good either for the immediate resolution of coxalgia and functional limitation, or for the secondary prevention of coxarthrosis. This has implications for the rehabilitation of these patients after surgery too.

 

Keywords: Hip; FAI Syndrome; Cartilage Damage; AMIC; Micro-Fractures

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Citation: Grano Giovanni., et al. “Femoral Acetabular Impingement in the Athletes: Surgical Treatment with AMIC Versus Microfractures”. EC Orthopaedics 13.7 (2022): 01-06.

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